MR. KELLY A DEGRYSE (NPI# 1912348129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912348129 |
| Entity Type | Individual |
| Full Name | MR. KELLY A DEGRYSE |
| Credential | H.I.S. |
| Practice Address |
1141 Deadwood Ave Suite 10 Rapid City SD 57702-0391 |
| Practice Telephone | 6057379685 |
| Mailing Telephone | 6057379685 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 303H | SD | Speech, Language and Hearing Service Providers |
| Street Address |
1141 DEADWOOD AVE SUITE 10 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-0391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215053244 | Degryse Hearing Aid Center, Inc. | Hearing Instrument Specialist | 1141 Deadwood Ave, Suite #10, Rapid City, SD 57702-0391 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044032 | Bryce Metz | Hearing Instrument Specialist | 1109 W Omaha St, Suite C, Rapid City, SD 57701-2448 | 2016-10-21 |
| 1811357130 | Eric Smith | Hearing Instrument Specialist | 401 3rd St Ste 5, Rapid City, SD 57701-2207 | 2016-02-29 |
| 1275793853 | Laverne Clarence Willson | Hearing Instrument Specialist | 2525 West Main, Suite 106, Rapid City, SD 57702-2438 | 2008-06-17 |
| 1215053244 | Degryse Hearing Aid Center, Inc. | Hearing Instrument Specialist | 1141 Deadwood Ave, Suite #10, Rapid City, SD 57702-0391 | 2007-03-21 |
| 1558751867 | Rapid City Hearing Aid Center | Hearing Instrument Specialist | 2218 Jackson Blvd, Suite 2a, Rapid City, SD 57702-1501 | 2015-01-26 |
| 1588062889 | Daniel James Hagel | Hearing Instrument Specialist | 617 Mt View Rd, Rapid City, SD 57702-2518 | 2014-12-18 |
| 1114185014 | Jeffery Ted French | Hearing Instrument Specialist | 2218 Jackson Blvd, Suite 2a, Rapid City, SD 57702-1501 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407311079 | Barry Joseph Coughlin | Hearing Instrument Specialist | 524 N 1st St, Aberdeen, SD 57401-2802 | 2019-02-07 |
| 1043751522 | Advanced Hearing Technology LLC | Hearing Instrument Specialist | 2310 9th Ave Se, Watertown, SD 57201-7112 | 2017-03-16 |
| 1063876803 | Janet Pank | Hearing Instrument Specialist | 1208 E 57th St, Sioux Falls, SD 57108-5410 | 2016-04-07 |
| 1699165639 | Mitchell Hearing Aide Center Inc. | Hearing Instrument Specialist | 1288 Dakota S., Suite #1, Huron, SD 57350 | 2015-01-29 |
| 1457780769 | Michael Brown | Hearing Instrument Specialist | 3701 W 49th St Ste 109-b, Sioux Falls, SD 57106-4241 | 2013-11-06 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1477996304 | Paula's Hearing Aid Services LLC | Hearing Instrument Specialist | 1200 S Burr St Ste A, Mitchell, SD 57301-4585 | 2013-04-10 |
| 1093082489 | Ultimate Hearing,inc. | Hearing Instrument Specialist | 129 W Illinois St, Spearfish, SD 57783-2344 | 2011-11-29 |
| 1619255965 | Guy L Weyer | Hearing Instrument Specialist | 121 4th Ave Sw Ste 1, Aberdeen, SD 57401-4133 | 2011-08-03 |
| 1114232634 | J.c. Palmer | Hearing Instrument Specialist | 264 Kansas Ave. S.e., Huron, SD 57350 | 2010-08-09 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MR. KELLY A DEGRYSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.