Individual provider Active NPI

Louis Maxwell Billera, AU.D.

  • Audiologist
  • East Syracuse, NY
National Provider Identifier
1225547730
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002768 Issued in NY
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

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.