Organization Active NPI

Neider Hearing LLC

  • Hearing Instrument Specialist
  • Twin Falls, ID
National Provider Identifier
1124432513
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-2360 Issued in ID
Legal business name
NEIDER HEARING LLC
Doing business as
Miracle Ear
Practice address
1543 Pole Line Rd E
Twin Falls, ID 83301-3590
Phone
(208) 733-3340
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Mr. Ryan Lee Neider, H.I.S.
Title
Manager
Phone
(801) 682-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X HA-2360 ID Primary

Addresses

Primary practice location

1543 Pole Line Rd E
Twin Falls, ID 83301-3590

Mailing address

162 Falls Avenue #303
Twin Falls, ID 83301
Phone (801) 682-6620

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory

Locations

1543 Pole Line Rd E
Twin Falls, ID 83301
Phone (208) 733-3340

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1124432513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 FALLS AVENUE #303",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "801-682-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 POLE LINE RD E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013590",
            "telephone_number": "208-733-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDER HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "NEIDER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-682-6620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-2360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.