Active NPI
Anderson Audiology PC
- Audiologist
- Las Vegas, NV
National Provider Identifier
1164582540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-010
- Legal business name
- ANDERSON AUDIOLOGY PC
- Practice address
- 3120 S Rainbow Blvd Ste 202
Las Vegas, NV 89146-6235 - Phone
- (702) 233-4327
- Fax
- (702) 233-8837
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. David E Anderson, AU.D.,CCC-A
- Title
- Owner
- Phone
- (702) 233-4327
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-010 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3120 S Rainbow Blvd Ste 202
Las Vegas, NV 89146-6235
Mailing address
3120 S Rainbow Blvd #202
Las Vegas, NV 89146-6235
Phone (702) 233-4327
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034-02150 | Medicaid | NV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2009.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232409600000",
"number": "1164582540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 S RAINBOW BLVD #202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466235",
"telephone_number": "702-233-4327",
"fax_number": "702-233-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 S RAINBOW BLVD STE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466235",
"telephone_number": "702-233-4327",
"fax_number": "702-233-8837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON AUDIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2009-01-20",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-233-4327",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D.,CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NV",
"license": "A-010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034-02150",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.