NPIMap

Organization Active NPI

Miracle Ear

  • Audiologist-Hearing Aid Fitter
  • Roseville, MN
National Provider Identifier
1225209174
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MIRACLE EAR
Practice address
1611 W County Rd B
Suite 204
Roseville, MN 55113
Phone
(651) 631-9363
NPI assigned
Mar 19, 2008
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Timothy V Votava, HISNPI 1124290770
Title
President
Phone
(763) 421-1688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1611 W County Rd B
Suite 204
Roseville, MN 55113

Mailing address

1611 County Road B W
Suite #204
Roseville, MN 55113-5021
Phone (657) 631-9363

National Provider Directory

National Provider Directory
Tax ID family
Best Hearing Products7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1611 County Road B W
Ste 204
Roseville, MN 55113
Phone (651) 340-4597

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1225209174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W",
            "address_2": "SUITE #204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135021",
            "telephone_number": "657-631-9363",
            "fax_number": "651-639-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W COUNTY RD B",
            "address_2": "SUITE 204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-631-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "VOTAVA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-421-1688",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.