Custom Hearing LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

112 Issued in WY

Legal business name

CUSTOM HEARING LLC

Practice address

3285 South 5063 West
West Valley, UT 84120

Phone

(801) 965-0250

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

James Lynn Jephson, BC HIS

Title

Ceo

Phone

(801) 965-0250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1053501965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 SOUTH 5063 WEST",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-965-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 SOUTH 5063 WEST",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-965-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "JEPHSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-965-0250",
        "authorized_official_credential": "BC HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Aid Equipment in West Valley, UT
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• Hearing Aid Equipment in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.