Active NPI
William Dehaan III, BC-HIS
- Hearing Instrument Specialist
- Pueblo, CO
National Provider Identifier
1982853743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 149
- Practice address
- 1062 Eagleridge Blvd
Pueblo, CO 81008-2130 - Phone
- (719) 569-5000
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 149 | CO | Primary |
Addresses
Primary practice location
1062 Eagleridge Blvd
Pueblo, CO 81008-2130
Mailing address
1062 Eagleridge Blvd
Pueblo, CO 81008-2130
Phone (719) 569-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | CO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Audiology LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Pueblo, CO
- NPI 1841645579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1982853743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 EAGLERIDGE BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082130",
"telephone_number": "719-569-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 EAGLERIDGE BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082130",
"telephone_number": "719-569-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAAN",
"first_name": "WILLIAM",
"name_suffix": "III",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CO",
"license": "149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.