John Tongen, AU.D.
Individual provider Active NPI Audiologist · Bismarck, ND
NPI 1083696306 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1083696306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 206 (ND)
- Practice address
- 401 N 9TH St
Bismarck, ND 58501-4530 - Phone
- (701) 530-6094
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206 | ND | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willmar Hearing Aid Center | Past | Accepting new patients | |
| Allergy, Asthma & Immunology Associates P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 206 | ND | Yes |
Addresses
Primary practice location
401 N 9TH St
Bismarck, ND 58501-4530
Mailing address
401 N 9TH St
Bismarck, ND 58501-4530
Phone (701) 530-6094
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5830282 | Medicaid | ND | |
| 19851 | Other | ND | BC/BS OF ND |
| 56439 | Medicaid | ND |
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.