NPIMap

Organization Active NPI

Tri-City Audiology, LLC

  • Audiologist
  • Mesa, AZ
National Provider Identifier
1124196761
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
364 Issued in AZ
Legal business name
TRI-CITY AUDIOLOGY, LLC
Practice address
6553 E Baywood Ave Ste 104
Mesa, AZ 85206-1753
Phone
(480) 981-3384
Fax
(480) 924-8944
NPI assigned
Dec 1, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Mr. David L McBrideNPI 1164580049
Title
President
Phone
(480) 981-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 364 AZ Primary

Addresses

Primary practice location

6553 E Baywood Ave Ste 104
Mesa, AZ 85206-1753

Mailing address

6553 E Baywood Ave Ste 104
Mesa, AZ 85206-1753
Phone (480) 981-3384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715001237 AZ Part B Supplier - Clinic/Group Practice 9537148283 Receives reassigned benefits from 5 practitioners
Practice locations: Chandler, AZ; Mesa, AZ

National Provider Directory

National Provider Directory
Tax ID family
Tri City Audiology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 W Chandler Blvd
Ste 203
Chandler, AZ 85224
Phone (480) 899-0076

6550 E Broadway Rd
Ste 206
Mesa, AZ 85206
Phone (480) 820-1200

6553 E Baywood Ave
Ste 104
Mesa, AZ 85206
Phone (480) 981-3384

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1124196761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-981-3384",
            "fax_number": "480-924-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-981-3384",
            "fax_number": "480-924-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-981-3384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.