Healthcare Provider Details

I. General information

NPI: 1154179299
Provider Name (Legal Business Name): HAPPY EARS EXPRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14757 W MOUNTAIN VIEW BLVD
SURPRISE AZ
85374-2704
US

IV. Provider business mailing address

14757 W MOUNTAIN VIEW BLVD
SURPRISE AZ
85374-2704
US

V. Phone/Fax

Practice location:
  • Phone: 623-227-1924
  • Fax: 623-738-3918
Mailing address:
  • Phone: 623-227-1924
  • Fax: 623-738-3918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHANNA M DEWSNUP
Title or Position: CO-FOUNDER
Credential: AUD
Phone: 602-919-7778