Individual provider Active NPI

Jeffrey Alan Reyka, HAS

  • Hearing Instrument Specialist
  • Myrtle Beach, SC
National Provider Identifier
1992386247
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-0686 Issued in SC
Practice address
960 Cipriana Dr # B7
Myrtle Beach, SC 29572-4627
Phone
(843) 449-1411
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 HAS-0686 SC Primary

Addresses

Primary practice location

960 Cipriana Dr # B7
Myrtle Beach, SC 29572-4627

Mailing address

960 Cipriana Dr # B7
Myrtle Beach, SC 29572-4627
Phone (843) 449-1411

Other practice location 1

12060 Highway 17 Byp
Murrells Inlet, SC 29576-9401
Phone (843) 449-1411

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
HAS-0686SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Me Pivot Holdings, LLC Hearing Instrument Specialist 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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1992386247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CIPRIANA DR # B7",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724627",
            "telephone_number": "843-449-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CIPRIANA DR # B7",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724627",
            "telephone_number": "843-449-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12060 Highway 17 Byp",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295769401",
            "country_code": "US",
            "telephone_number": "843-449-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYKA",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HAS-0686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.