Individual provider Active NPI

Deonna L Parks, HEARING AID DISPENSE

  • Hearing Instrument Specialist
  • Oswego, NY
National Provider Identifier
1982368007
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000065546 Issued in NY
Practice address
11 4TH Ave Ste C
Oswego, NY 13126-1852
Phone
(315) 342-6909
Fax
(315) 602-5320
NPI assigned
Oct 25, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000065546 NY Primary

Addresses

Primary practice location

11 4TH Ave Ste C
Oswego, NY 13126-1852

Mailing address

2501 Cottontail LN
Somerset, NJ 08873-5125

Other practice location 1

1001 James St
Syracuse, NY 13203-2789
Phone (315) 428-0016

Other practice location 2

5320 W Genesee St Ste 300
Camillus, NY 13031-2268
Phone (315) 234-3842

Other practice location 3

240 W Seneca St Ste 3
Manlius, NY 13104-2451
Phone (315) 682-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000065546NYMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1982368007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH AVE STE C",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261852",
            "telephone_number": "315-342-6909",
            "fax_number": "315-602-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032789",
            "country_code": "US",
            "telephone_number": "315-428-0016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 W Genesee St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130312268",
            "country_code": "US",
            "telephone_number": "315-234-3842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 W Seneca St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131042451",
            "country_code": "US",
            "telephone_number": "315-682-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DEONNA",
        "middle_name": "L",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000065546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.