Active NPI
Louis Maxwell Billera, AU.D.
- Audiologist
- East Syracuse, NY
National Provider Identifier
1225547730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002768
- Practice address
- 6700 Kirkville Rd Ste 105
East Syracuse, NY 13057-9373 - Phone
- (315) 463-1724
- NPI assigned
- Sep 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002768 | NY | Primary |
Addresses
Primary practice location
6700 Kirkville Rd Ste 105
East Syracuse, NY 13057-9373
Mailing address
123 Gorland Ave
Syracuse, NY 13224-1615
Phone (908) 268-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506470400000",
"number": "1225547730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GORLAND AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241615",
"telephone_number": "908-268-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 KIRKVILLE RD STE 105",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579373",
"telephone_number": "315-463-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLERA",
"first_name": "LOUIS",
"middle_name": "MAXWELL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-27",
"last_updated": "2017-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.