Fairborn Hearing Aid Center

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

1918 Issued in OH

Legal business name

FAIRBORN HEARING AID CENTER

Practice address

331 N Broad St
Fairborn, OH 45324-4934

Phone

(937) 879-1842

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Clyde L Redd Jr., BC-HISNPI 1407066319

Title

Owner

Phone

(937) 879-1842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Clyde L Redd Jr., BC-HIS

  • Hearing Instrument Specialist
  • Fairborn, OH
  • NPI 1407066319
  NPD (past) Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1174712772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244934",
            "telephone_number": "937-879-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244934",
            "telephone_number": "937-879-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBORN HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-879-1842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "OH",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rose Evans, BA
• Dani Eyler
• Fairborn Alf Operations LLC
• Fairborn City School District
• Fairborn Family Practice Assoc
• Fairborn Mental Health LLC
• Fairborn Mental Health LLC
• Fairborn Mental Health LLC
• Katharine Fanizzi
• Tawni Fannin

• Hearing Aid Equipment in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Hearing Aid Equipment in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.