Individual provider Active NPI

Brenda Watson-Dodd, M.S.

  • Audiologist-Hearing Aid Fitter
  • Cambridge, OH
National Provider Identifier
1154711182
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A.00599 Issued in OH
Practice address
1212 Neal Dr
Cambridge, OH 43725-1143
Phone
(740) 439-8467
Fax
(740) 435-2467
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A.00599 OH Primary

Addresses

Primary practice location

1212 Neal Dr
Cambridge, OH 43725-1143

Mailing address

1212 Neal Dr
Cambridge, OH 43725-1143
Phone (740) 439-8467

Other practice location 1

115 Clark Street
Cambridge, OH 43725
Phone (740) 255-5214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Med LLC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1154711182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NEAL DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251143",
            "telephone_number": "740-439-8467",
            "fax_number": "740-453-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NEAL DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437251143",
            "telephone_number": "740-439-8467",
            "fax_number": "740-435-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Clark Street",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "43725",
            "country_code": "US",
            "telephone_number": "740-255-5214",
            "fax_number": "740-453-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON-DODD",
        "first_name": "BRENDA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.00599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.