Tyler Jose Da Costa Duraes, AUD., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

093393 Issued in IA

Practice address

6925 Hickman Rd
Urbandale, IA 50322-4805

Phone

(515) 276-6122

Fax

(515) 237-3917

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tyler Jose Duraes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maas-Kautzky, Inc.

  dba Woodard Hearing Centers

  • Audiologist-Hearing Aid Fitter
  • Des Moines, IA
  • NPI 1659674042
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1093280570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224805",
            "telephone_number": "515-276-6122",
            "fax_number": "515-237-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224805",
            "telephone_number": "515-276-6122",
            "fax_number": "515-237-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA COSTA DURAES",
        "first_name": "TYLER",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "093393",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "093782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "DURAES",
            "middle_name": "JOSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Critical Care Systems, LLC (Option Care)
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• Whitney Custer
• Kevin Thomas Cwach, M.D.
• D. R. Respiratory Services
• Michelle Daniels
• Samantha Dao, PHARMD
• Davidson Family Dentistry
• Davidson Family Dentistry, LLC
• David W Davidson, DDS

• Audiologist-Hearing Aid Fitter in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Audiologist-Hearing Aid Fitter in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.