NPIMap

Organization Active NPI

Nevada Hearing & Balance Center LLC

  • Audiologist
  • Henderson, NV
National Provider Identifier
1184953986
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-187 Issued in NV
Legal business name
NEVADA HEARING & BALANCE CENTER LLC
Practice address
2461 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5943
Phone
(702) 896-0031
Fax
(702) 896-1044
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Richard Layne Luekenga Jr., AU.D.NPI 1609818905
Title
Owner
Phone
(435) 688-8991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A-187 NV Primary

Addresses

Primary practice location

2461 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5943

Mailing address

2461 W Horizon Ridge Pkwy
Suite 130
Henderson, NV 89052-5943
Phone (702) 896-0031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100419000258 NV Part B Supplier - Clinic/Group Practice 5092842393 Receives reassigned benefits from 6 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1184953986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525943",
            "telephone_number": "702-896-0031",
            "fax_number": "702-896-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525943",
            "telephone_number": "702-896-0031",
            "fax_number": "702-896-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEARING & BALANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-8991",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.