Organization Active NPI

Hearing Center of Andover LLC

  • Hearing Aid Equipment
  • Andover, MN
National Provider Identifier
1225899354
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
HEARING CENTER OF ANDOVER LLC
Practice address
1881 Station Pkwy NW Ste a
Andover, MN 55304-3366
Phone
(763) 232-0177
NPI assigned
Jan 16, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Mrs. Amanda Jean GillNPI 1700243524
Title
President
Phone
(763) 232-0177

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 Aid Equipment 332S00000X NU Primary

Addresses

Primary practice location

1881 Station Pkwy NW Ste a
Andover, MN 55304-3366

Mailing address

1881 Station Pkwy NW Ste a
Andover, MN 55304-3366
Phone (763) 232-0177

Other practice location 1

12631 Fremont Ave Ste 3
Zimmerman, MN 55398-7100
Phone (763) 999-5955

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1225899354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 STATION PKWY NW STE A",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043366",
            "telephone_number": "763-232-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 STATION PKWY NW STE A",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043366",
            "telephone_number": "763-232-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12631 Fremont Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Zimmerman",
            "state": "MN",
            "postal_code": "553987100",
            "country_code": "US",
            "telephone_number": "763-999-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARING CENTER OF ANDOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-232-0177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.