Organization Active NPI

Eldorado Audiology and Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Santa Fe, NM
National Provider Identifier
1164854097
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3966 Issued in NM
Legal business name
ELDORADO AUDIOLOGY AND HEARING CENTER
Practice address
5 Caliente Road
#5A
Santa Fe, NM 87508
Phone
(505) 466-7526
Fax
(505) 466-7528
NPI assigned
Aug 2, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Kelly Heyman, AU.D.
Title
Owner/Audiologist
Phone
(505) 466-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 3966 NM Primary

Addresses

Primary practice location

5 Caliente Road
#5A
Santa Fe, NM 87508

Mailing address

5 Caliente Road
#5A
Santa Fe, NM 87508
Phone (505) 466-7526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131227000565 NM Part B Supplier - Clinic/Group Practice 9133356926 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

5 Caliente Rd
Ste 5
Santa Fe, NM 87508
Phone (505) 466-7526

5 Caliente Rd
Ste 5A
Santa Fe, NM 87508
Phone (505) 466-7526

Practitioners & affiliated clinicians

Practitioners 2

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": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1164854097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALIENTE ROAD",
            "address_2": "#5A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-466-7526",
            "fax_number": "505-466-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALIENTE ROAD",
            "address_2": "#5A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-466-7526",
            "fax_number": "505-466-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO AUDIOLOGY AND HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "HEYMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "505-466-7526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.