Organization Active NPI

Anderson Audiology PC

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1164582540
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-010 Issued in NV
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A-010 NV Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0034-02150MedicaidNV

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.

Verify at the official NPI Registry.