Active NPI
Metampa, LLC
Doing business as Miracle Ear Center
- Audiologist-Hearing Aid Fitter
- Dunedin, FL
National Provider Identifier
1114405214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- METAMPA, LLC
- Doing business as
- Miracle Ear Center
- Practice address
- 1761 Main St Ste 300
Dunedin, FL 34698-6449 - Phone
- (727) 796-3600
- NPI assigned
- Jul 31, 2018
- Last updated
- Jun 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve L Key
- Title
- Coo
- Phone
- (254) 230-4149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NU | Primary |
Addresses
Primary practice location
1761 Main St Ste 300
Dunedin, FL 34698-6449
Mailing address
8300 Central Park Dr Ste 100
Waco, TX 76712-6666
Other names 1
- Miracle Ear Center
National Provider Directory
National Provider DirectoryLocations
1761 Main St
Ste 300
Dunedin, FL 34698
Phone (727) 796-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1114405214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 CENTRAL PARK DR STE 100",
"city": "WACO",
"state": "TX",
"postal_code": "767126666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 MAIN ST STE 300",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986449",
"telephone_number": "727-796-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METAMPA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "KEY",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "254-230-4149"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Ear Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Michelle Menendez, CCCA
- Thomas Michael Millman, DDS
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.