Active NPI
Las Davis Enterprises Inc.
- Audiologist-Hearing Aid Fitter
- Swansea, IL
National Provider Identifier
1023547296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- LAS DAVIS ENTERPRISES INC.
- Practice address
- 4200 N Illinois St Ste D
Swansea, IL 62226-7610 - Phone
- (618) 234-7368
- NPI assigned
- Jun 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Davis
- Title
- President
- Phone
- (314) 843-7233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | Primary | ||
| Hearing Instrument Specialist | 237700000X |
Addresses
Primary practice location
4200 N Illinois St Ste D
Swansea, IL 62226-7610
Mailing address
5220 S Lindbergh Blvd
Saint Louis, MO 63126-3519
Phone (314) 843-7233
Other names 1
- Miracle Ear
National Provider Directory
National Provider Directory- Tax ID family
- Las Davis Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Instrument Specialist
- Waterloo, IL
- NPI 1235624867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496966400000",
"number": "1023547296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 S LINDBERGH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263519",
"telephone_number": "314-843-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 N ILLINOIS ST STE D",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622267610",
"telephone_number": "618-234-7368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS DAVIS ENTERPRISES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-09",
"last_updated": "2017-06-09",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-843-7233"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.