NPIMap

Organization Active NPI

Tri-County Hearing Aid Services, Inc

Doing business as Avada Audiology & Hearing Care

  • Hearing Aid Equipment
  • Beaver Dam, WI
National Provider Identifier
1023441714
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
1428-60 Issued in WI
Legal business name
TRI-COUNTY HEARING AID SERVICES, INC
Doing business as
Avada Audiology & Hearing Care
Practice address
140 Corporate Dr Ste 1
Beaver Dam, WI 53916-1281
Phone
(920) 887-9658
Fax
(920) 887-9655
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela Braker
Title
Director of Operations
Phone
(920) 887-9658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 1428-60 WI Primary

Addresses

Primary practice location

140 Corporate Dr Ste 1
Beaver Dam, WI 53916-1281

Mailing address

140 Corporate Dr Ste 1
Beaver Dam, WI 53916-1281
Phone (920) 887-9658

Other names 1

  • Avada Audiology & Hearing Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avada Audiology Hearing Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Corporate Dr
Ste 1
Beaver Dam, WI 53916
Phone (920) 887-2822

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1023441714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CORPORATE DR STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161281",
            "telephone_number": "920-887-9658",
            "fax_number": "920-887-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CORPORATE DR STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161281",
            "telephone_number": "920-887-9658",
            "fax_number": "920-887-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HEARING AID SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "BRAKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "920-887-9658"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WI",
            "license": "1428-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avada Audiology & Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.