NPIMap

Organization Active NPI

Mr. Phillips Hearing Center, Inc.

  • Hearing Instrument Specialist
  • Ammon, ID
National Provider Identifier
1073754552
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-1012 Issued in ID
Legal business name
MR. PHILLIPS HEARING CENTER, INC.
Practice address
3153 E 17TH St
Ammon, ID 83406-6717
Phone
(208) 529-4969
Fax
(208) 529-6976
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mr. Jason Wade Curtis, HIS
Title
Hearing Aid Dispenser
Phone
(208) 529-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-1012 ID Primary

Addresses

Primary practice location

3153 E 17TH St
Ammon, ID 83406-6717

Mailing address

3153 E 17TH St
Ammon, ID 83406-6717
Phone (208) 529-4969

National Provider Directory

National Provider Directory

Locations

3153 E 17th St
Ammon, ID 83406
Phone (208) 529-4969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1073754552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066717",
            "telephone_number": "208-529-4969",
            "fax_number": "208-529-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066717",
            "telephone_number": "208-529-4969",
            "fax_number": "208-529-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. PHILLIPS HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "HEARING AID DISPENSER",
        "authorized_official_telephone_number": "208-529-4969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.