Northland Hearing Centers, Inc.

Organization Active NPI Hearing and Speech Clinic/Center · Fond Du Lac, WI

NPI 1124456348 · NPPES record last updated May 8, 2024

Key facts

NPI
1124456348
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
Legal business name
NORTHLAND HEARING CENTERS, INC.
Practice address
481 E Division St Ste 900
Fond Du Lac, WI 54935-3752
Phone
(920) 926-1288
Fax
(855) 239-7375
NPI assigned
Oct 25, 2013
Organization subpart
No

Authorized official

Name
Xue Xiong
Title
Regional Support Specialist
Phone
(763) 292-4745

Corporate family (same tax ID) 15

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

National Provider Directory

Tax ID family
Northland Hearing Cntrs Inc (922 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter
Group: 193200000X MULTI-SPECIALTY GROUP
237600000X WI
Hearing and Speech Clinic/Center 261QH0700X Yes

Addresses

Primary practice location

481 E Division St Ste 900
Fond Du Lac, WI 54935-3752

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405

Other names

  • Pickart Hearing Service Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1124456348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 E DIVISION ST STE 900",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353752",
            "telephone_number": "920-926-1288",
            "fax_number": "855-239-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "XUE",
        "authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "763-292-4745"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickart Hearing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, WI

All providers in Fond Du Lac, WI · Hearing and Speech Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.