Active NPI
Hearing Center of Andover LLC
- Hearing Aid Equipment
- Andover, MN
National Provider Identifier
1225899354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda Jean Gill
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Hearing Instrument Specialist
- Andover, MN
- NPI 1700243524
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.