Organization Active NPI

Colonial Center for Hearing Inc

  • Audiologist
  • Williamsburg, VA
National Provider Identifier
1114105616
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
COLONIAL CENTER FOR HEARING INC
Practice address
430 McLaws Cir
Ste 101
Williamsburg, VA 23185-5655
Phone
(757) 229-4004
Fax
(757) 229-9992
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Ms. Lucia Liptakova
Title
Office Manager
Phone
(757) 229-4004

Specialties & licenses 1

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

Addresses

Primary practice location

430 McLaws Cir
Ste 101
Williamsburg, VA 23185-5655

Mailing address

430 McLaws Cir
Ste 101
Williamsburg, VA 23185-5655
Phone (757) 229-4004

Other identifiers 1

IdentifierTypeStateIssuer
169589OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000402 VA Part B Supplier - Clinic/Group Practice 3971672197 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

430 McLaws Cir
Ste 101
Williamsburg, VA 23185
Phone (757) 229-4004

337 McLaws Cir
Ste 3
Williamsburg, VA 23185
Phone (757) 229-4004

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1114105616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MCLAWS CIR",
            "address_2": "STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855655",
            "telephone_number": "757-229-4004",
            "fax_number": "757-229-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MCLAWS CIR",
            "address_2": "STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855655",
            "telephone_number": "757-229-4004",
            "fax_number": "757-229-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CENTER FOR HEARING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "LIPTAKOVA",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-229-4004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "169589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.