Organization Active NPI

High Desert Hearing Center

  • Audiologist
  • Grand Junction, CO
National Provider Identifier
1144963133
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
HIGH DESERT HEARING CENTER
Practice address
631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371
Phone
(970) 985-8765
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Terry L Jacobson
Title
Officer/Administrator
Phone
(970) 985-4008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371

Mailing address

631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371
Phone (970) 985-4008

Other practice location 1

2373 G Rd Ste 240
Grand Junction, CO 81505-1006
Phone (970) 985-4008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610000046 CO Part B Supplier - Clinic/Group Practice 7911385588 Receives reassigned benefits from 6 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

631 24 12 Rd
Ste G
Grand JCT, CO 81505
Phone (970) 985-4008

631 24 12 Rd Ste G
Ste G
Grand Junction, CO 81505
Phone (970) 985-4008

631 24 Rd Ste G
Grand Junction, CO 81505

631 24 12 Rd
Ste G
Grand Junction, CO 81505
Phone (970) 985-4008

Practitioners & affiliated clinicians

Practitioners 6

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": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1144963133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 24 1/2 RD STE G",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051371",
            "telephone_number": "970-985-4008",
            "fax_number": "970-985-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 24 1/2 RD STE G",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051371",
            "telephone_number": "970-985-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051006",
            "country_code": "US",
            "telephone_number": "970-985-4008",
            "fax_number": "970-985-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH DESERT HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER/ADMINISTRATOR",
        "authorized_official_telephone_number": "970-985-4008"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.