Organization Active NPI

Metro Hearing Associates, LLC

Doing business as Metro Hearing

  • Audiologist
  • Glendale, AZ
National Provider Identifier
1083839666
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA529 Issued in AZ
Legal business name
METRO HEARING ASSOCIATES, LLC
Doing business as
Metro Hearing
Practice address
13934 N 59TH Ave
Suite # 120
Glendale, AZ 85306-4167
Phone
(602) 866-0147
Fax
(602) 547-9644
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Dan Trimble, M.S., CCC-A
Title
President of Company
Phone
(602) 866-0147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X DA529 AZ Primary

Addresses

Primary practice location

13934 N 59TH Ave
Suite # 120
Glendale, AZ 85306-4167

Mailing address

13934 N 59TH Ave
Suite # 120
Glendale, AZ 85306-4167
Phone (602) 866-0147

Other identifiers 1

IdentifierTypeStateIssuer
953423MedicaidAZ

Other names 1

  • Metro Hearing Doing business as

National Provider Directory

National Provider Directory

Locations

16620 N 40th St
Ste D5
Phoenix, AZ 85032
Phone (602) 770-4290

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1083839666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13934 N 59TH AVE",
            "address_2": "SUITE # 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064167",
            "telephone_number": "602-866-0147",
            "fax_number": "602-547-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13934 N 59TH AVE",
            "address_2": "SUITE # 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064167",
            "telephone_number": "602-866-0147",
            "fax_number": "602-547-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEARING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "602-866-0147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.