Active NPI
Charles Isaac Dunford
- Hearing Instrument Specialist
- Ogden, UT
National Provider Identifier
1033410196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 5102484-4601
- Practice address
- 4669 Harrison Blvd
Ogden, UT 84403-4418 - Phone
- (801) 475-5535
- NPI assigned
- Nov 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA-4095 | ID | |
| Hearing Instrument Specialist | 237700000X | 5102484-4601 | UT | Primary |
Addresses
Primary practice location
4669 Harrison Blvd
Ogden, UT 84403-4418
Mailing address
2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120
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
| License | State | Type | Specialty |
|---|---|---|---|
| HA-4095 | ID | MD | Hearing Instrument Specialist |
| 5102484-4601 | UT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1033410196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735125",
"telephone_number": "732-529-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4669 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034418",
"telephone_number": "801-475-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNFORD",
"first_name": "CHARLES",
"middle_name": "ISAAC",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-05",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "ID",
"license": "HA-4095",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "UT",
"license": "5102484-4601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.