Individual provider Active NPI

Cynthea Clark, BC-HIS

  • Hearing Instrument Specialist
  • Henderson, NV
National Provider Identifier
1235480187
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-513 Issued in NV
Practice address
8935 S Pecos Rd Ste 21a
Henderson, NV 89074-7155
Phone
(725) 333-4327
Fax
(702) 921-6370
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAS-513 NV Primary

Addresses

Primary practice location

8935 S Pecos Rd Ste 21a
Henderson, NV 89074-7155

Mailing address

8935 S Pecos Rd Ste 21a
Henderson, NV 89074-7155
Phone (725) 333-4327

Other practice location 1

2961 Sammy Davis Jr Dr
Suite 75
Las Vegas, NV 89109-1177
Phone (702) 845-9599

Other practice location 2

8905 S Pecos Rd Ste 23C
Henderson, NV 89074-7148
Phone (725) 333-4327

Other identifiers 1

IdentifierTypeStateIssuer
23MedicaidNV

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAS-513NVMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Clear LLC Current Accepting new patients
Racear CurrentSince Oct 10, 2021 Accepting new patients
Racear LLC CurrentSince May 1, 2021 Accepting new patients
Hear Well Inc PastSince Nov 5, 2023 Accepting new patients

Locations

8935 S Pecos Rd
Ste 21A
Henderson, NV 89074
Phone (702) 456-1110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1235480187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 S PECOS RD STE 21A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747155",
            "telephone_number": "725-333-4327",
            "fax_number": "702-921-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8935 S PECOS RD STE 21A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747155",
            "telephone_number": "725-333-4327",
            "fax_number": "702-921-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2961 Sammy Davis Jr Dr",
            "address_2": "Suite 75",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091177",
            "country_code": "US",
            "telephone_number": "702-845-9599",
            "fax_number": "702-921-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8905 S Pecos Rd Ste 23C",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747148",
            "country_code": "US",
            "telephone_number": "725-333-4327",
            "fax_number": "702-921-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CYNTHEA",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "HAS-513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.