NPIMap

Organization Active NPI

Modern Otoacoustics LLC

Doing business as The Hearing Aid Shop

  • Hearing Instrument Specialist
  • Wolfeboro, NH
National Provider Identifier
1215297163
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
H501 Issued in NH
Legal business name
MODERN OTOACOUSTICS LLC
Doing business as
The Hearing Aid Shop
Practice address
22 Glendon St
Wolfeboro, NH 03894-4481
Phone
(603) 569-2799
Fax
(603) 569-1815
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Ms. Jessica L Williams, BC-HISNPI 1093022931
Title
Owner
Phone
(603) 569-2799

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
Hearing Instrument Specialist 237700000X H501 NH Primary

Addresses

Primary practice location

22 Glendon St
Wolfeboro, NH 03894-4481

Mailing address

PO Box 1175
Wolfeboro, NH 03894-1175
Phone (603) 569-2799

Other names 1

  • The Hearing Aid Shop Doing business as

National Provider Directory

National Provider Directory

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1215297163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941175",
            "telephone_number": "603-569-2799",
            "fax_number": "603-569-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GLENDON ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944481",
            "telephone_number": "603-569-2799",
            "fax_number": "603-569-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OTOACOUSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-569-2799",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NH",
            "license": "H501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hearing Aid Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.