Individual provider Active NPI

Charles Noble Lednum III, M.A.

  • Audiologist-Hearing Aid Fitter
  • Cambridge, MD
National Provider Identifier
1043271562
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
01025 Issued in MD
Practice address
400 Maryland Ave Ste 1
Cambridge, MD 21613-1928
Phone
(410) 228-1676
Fax
(410) 228-7464
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001234 VA
Audiologist 231H00000X 02-0000132 DE
Audiologist-Hearing Aid Fitter 237600000X 01025 MD Primary
Audiologist-Hearing Aid Fitter 237600000X 2101 001488 VA

Addresses

Primary practice location

400 Maryland Ave Ste 1
Cambridge, MD 21613-1928

Mailing address

400 Maryland Ave Ste 1
Cambridge, MD 21613-1928
Phone (410) 228-1676

Other identifiers 1

IdentifierTypeStateIssuer
J207-00-01OtherMDCAREFIRST BLUECHOICE

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02-0000132DEMDAudiologist
2201001234VAMDAudiologist
01025MDMDAudiologist-Hearing Aid Fitter
2101 001488VAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Lednum Hearing Centers, LLC Audiologist Past Accepting new patients
Lednum's Jewelers, Inc. Audiologist Past Accepting new patients

Organizations & group practices 2

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1043271562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARYLAND AVE STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131928",
            "telephone_number": "410-228-1676",
            "fax_number": "410-228-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARYLAND AVE STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131928",
            "telephone_number": "410-228-1676",
            "fax_number": "410-228-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDNUM",
        "first_name": "CHARLES",
        "middle_name": "NOBLE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001234",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "02-0000132",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01025",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101 001488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "J207-00-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.