Individual provider Active NPI

Robert A. Siebers, BC-HIS

  • Hearing Instrument Specialist
  • North Plains, OR
National Provider Identifier
1013162874
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-P-225591 Issued in OR
Practice address
10395 NW Glencoe Rd Ste 500
North Plains, OR 97133-8223
Phone
(503) 647-2095
Fax
(503) 647-2096
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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-P-225591 OR Primary

Addresses

Primary practice location

10395 NW Glencoe Rd Ste 500
North Plains, OR 97133-8223

Mailing address

10395 NW Glencoe Rd Ste 500
North Plains, OR 97133-8223
Phone (503) 647-2095

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-P-225591ORMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1013162874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10395 NW GLENCOE RD STE 500",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338223",
            "telephone_number": "503-647-2095",
            "fax_number": "503-647-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 NW GLENCOE RD STE 500",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338223",
            "telephone_number": "503-647-2095",
            "fax_number": "503-647-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERS",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-225591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.