Professional Hearing Center, PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

112 Issued in NE

Legal business name

PROFESSIONAL HEARING CENTER, PC

Practice address

415 E 23Rd St
Suite a
Fremont, NE 68025-2393

Phone

(402) 721-8960

Fax

(402) 721-7988

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Lori J DaileyNPI 1912044819

Title

Audiologist/Owner

Phone

(402) 721-8960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dailey Hearing Center, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dailey Hearing Center PC

  • Audiologist-Hearing Aid Fitter
  • Fremont, NE
  • NPI 1144595554

  O20120425000483

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Jean Dailey, MD CCCA

  • Audiologist-Hearing Aid Fitter
  • Fremont, NE
  • NPI 1912044819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1043621717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-8960",
            "fax_number": "402-721-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-8960",
            "fax_number": "402-721-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "402-721-8960"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NA2112",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dailey Hearing Center, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nicole Pronske, RN
• John C Puente, M.D.

• Audiologist-Hearing Aid Fitter in Fremont, NE
• Providers in Fremont, NE by specialty
• Audiologist-Hearing Aid Fitter in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.