Active NPI
Olivia H Bender, AUD
- Audiologist
- Mesa, AZ
National Provider Identifier
1073181772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA12506
- Practice address
- 1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754 - Phone
- (480) 539-4000
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA12506 | AZ | Primary |
Addresses
Primary practice location
1520 S Dobson Rd Ste 217
Mesa, AZ 85202-4754
Mailing address
4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA12506 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Associates of Westchester, LLC | Audiologist | Current | Accepting new patients |
| Phoenix Children'S Hospital | Audiologist | Current | Accepting new patients |
Locations
550 Mamaroneck Ave
Ste 407
Harrison, NY 10528
Phone (914) 949-0034
325 Route 100
Somers, NY 10589
Phone (914) 597-2890
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.
-
- Audiologist
- Harrison, NY
- NPI 1801251699
-
- Audiologist
- Phoenix, AZ
- NPI 1902478605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1073181772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E SHEA BLVD STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286042",
"telephone_number": "602-264-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD STE 217",
"city": "MESA",
"state": "AZ",
"postal_code": "852024754",
"telephone_number": "480-539-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "OLIVIA",
"middle_name": "H",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA12506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.