Healthcare Provider Details

I. General information

NPI: 1831868454
Provider Name (Legal Business Name): GN CONSUMER HEARING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 DEAN LAKES BLVD
SHAKOPEE MN
55379-2998
US

IV. Provider business mailing address

5005 DEAN LAKES BLVD
SHAKOPEE MN
55379-2998
US

V. Phone/Fax

Practice location:
  • Phone: 800-854-2772
  • Fax:
Mailing address:
  • Phone: 800-854-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DERI L WINSTON
Title or Position: COO
Credential:
Phone: 321-446-1228