Organization Active NPI

Black Hills Advanced Hearing LLC

  • Audiologist-Hearing Aid Fitter
  • Rapid City, SD
National Provider Identifier
1154913622
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
BLACK HILLS ADVANCED HEARING LLC
Practice address
4940 5TH St Ste 2B
Rapid City, SD 57701-6026
Phone
(605) 388-5781
Fax
(605) 716-6390
NPI assigned
Feb 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Jay W White, DO
Title
Doctor of Osteopathy
Phone
(605) 716-6390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

4940 5TH St Ste 2B
Rapid City, SD 57701-6026

Mailing address

4940 5TH St Ste 2B
Rapid City, SD 57701-6026
Phone (605) 388-5781

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BlackHillsAdvancedHearing

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1154913622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 5TH ST STE 2B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-388-5781",
            "fax_number": "605-716-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 5TH ST STE 2B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-388-5781",
            "fax_number": "605-716-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS ADVANCED HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHY",
        "authorized_official_telephone_number": "605-716-6390",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BlackHillsAdvancedHearing",
            "affiliation": "N",
            "address_1": "4940 5th St Ste 2B",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577016026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.