Active NPI
Dale T Lalone, M.S. CCC-A
- Audiologist
- South Portland, ME
National Provider Identifier
1104968312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AP159
- Practice address
- 260 Western Ave
South Portland, ME 04106-2432 - Phone
- (207) 828-9590
- Fax
- (207) 828-1049
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | AP159 | ME | Primary |
Addresses
Primary practice location
260 Western Ave
South Portland, ME 04106-2432
Mailing address
260 Western Ave
South Portland, ME 04106-2432
Phone (207) 828-9590
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367490 | Other | CIGNA | |
| 1042010 | Other | AETNA | |
| 7303080Y0NH | Other | ANTHEM - NH | |
| MNT752 | Other | HARVARD PILGRIM | |
| 30006549 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Advice Audiology | Audiologist | Past | Accepting new patients |
| Rem Audiology Associates, P.C. | Audiologist | Past | Accepting new patients |
| Audiology Services Company USA, LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
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
- South Portland, ME
- NPI 1033251459
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104968312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 WESTERN AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062432",
"telephone_number": "207-828-9590",
"fax_number": "207-828-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 WESTERN AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062432",
"telephone_number": "207-828-9590",
"fax_number": "207-828-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALONE",
"first_name": "DALE",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.S. CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "AP159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "367490",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1042010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NH",
"identifier": "7303080Y0NH",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "MNT752",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006549",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.