Organization Active NPI

Pueblo Hearing AIDS LLC

  • Hearing Aid Equipment
  • Pueblo, CO
National Provider Identifier
1205205648
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
PUEBLO HEARING AIDS LLC
Practice address
1000 W 6TH St
Ste H
Pueblo, CO 81003-2316
Phone
(719) 543-2116
Fax
(719) 543-2216
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Shad Stockton
Title
Owner
Phone
(719) 276-1082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

1000 W 6TH St
Ste H
Pueblo, CO 81003-2316

Mailing address

1000 W 6TH St
Ste H
Pueblo, CO 81003-2316
Phone (719) 543-2116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1205205648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 6TH ST",
            "address_2": "STE H",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032316",
            "telephone_number": "719-543-2116",
            "fax_number": "719-543-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 6TH ST",
            "address_2": "STE H",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032316",
            "telephone_number": "719-543-2116",
            "fax_number": "719-543-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO HEARING AIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "SHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-276-1082"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.