Individual provider Active NPI

David Neville, AU. D.

  • Audiologist
  • Toledo, OH
National Provider Identifier
1053834564
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
02093 Issued in OH
Practice address
4640 W Alexis Rd
Toledo, OH 43623-1182
Phone
(419) 474-9324
Fax
(855) 287-0160
NPI assigned
Jul 18, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 02093 OH Primary

Addresses

Primary practice location

4640 W Alexis Rd
Toledo, OH 43623-1182

Mailing address

4640 W Alexis Rd
Toledo, OH 43623-1182
Phone (419) 474-9324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518002244 OH Practitioner - Qualified Audiologist 6305245606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Physicians IncGroup PAC ID 6103724935, 6 clinicians

Practice addresses (Care Compare)

4640 W Alexis Rd
Suite 100
Toledo, OH 43623-1182
Phone (419) 474-9324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02093OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Physicians Inc CurrentSince Mar 4, 2024 Accepting new patients
Hearing Health Mi LLC Audiologist PastSince Jul 1, 2022 Accepting new patients

Locations

4640 W Alexis Rd
Toledo, OH 43623
Phone (419) 474-9324

4640 W Alexis Rd
Ste 100
Toledo, OH 43623
Phone (419) 474-9324

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1053834564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-474-9324",
            "fax_number": "855-287-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-474-9324",
            "fax_number": "855-287-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "02093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.