Organization Active NPI

R D Obermeier Hearing Services L.L.C.

Doing business as Miracle Ear

  • Hearing Instrument Specialist
  • Jefferson City, MO
National Provider Identifier
1124149778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
001129 Issued in MO
Legal business name
R D OBERMEIER HEARING SERVICES L.L.C.
Doing business as
Miracle Ear
Practice address
724 W Stadium Blvd
Jefferson City, MO 65109-4772
Phone
(573) 635-8226
Fax
(573) 636-3657
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Roger William Obermeier
Title
Licensed Hearing Specialist
Phone
(573) 635-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 001129 MO Primary

Addresses

Primary practice location

724 W Stadium Blvd
Jefferson City, MO 65109-4772

Mailing address

724 W Stadium Blvd
Jefferson City, MO 65109-4772
Phone (573) 635-8226

Other identifiers 2

IdentifierTypeStateIssuer
43166OtherMERCY HEALTH PROVIDER #
693841OtherHEALTHLINK PROVIDER #

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory

Locations

724 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 635-8425

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124149778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094772",
            "telephone_number": "573-635-8226",
            "fax_number": "573-636-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094772",
            "telephone_number": "573-635-8226",
            "fax_number": "573-636-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R D OBERMEIER HEARING SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERMEIER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "LICENSED HEARING SPECIALIST",
        "authorized_official_telephone_number": "573-635-8226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "001129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PROVIDER #",
            "identifier": "43166",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER #",
            "identifier": "693841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.