Organization Active NPI

Professional Hearing Services, Inc.

  • Audiologist
  • Lakewood, CO
National Provider Identifier
1245302629
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PROFESSIONAL HEARING SERVICES, INC.
Practice address
2405 Wadsworth Blvd
Lakewood, CO 80214-5713
Phone
(303) 237-4967
Fax
(303) 237-4966
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mr. Jeffrey Baller, M.S., CCC-A
Title
Co Owner, Audiologist
Phone
(303) 237-4967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2405 Wadsworth Blvd
Lakewood, CO 80214-5713

Mailing address

2405 Wadsworth Blvd
Lakewood, CO 80214-5713
Phone (303) 237-4967

Other identifiers 1

IdentifierTypeStateIssuer
73425222MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001706 CO Part B Supplier - Clinic/Group Practice 4981696150 Receives reassigned benefits from 5 practitioners
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

2405 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 237-4967

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1245302629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145713",
            "telephone_number": "303-237-4967",
            "fax_number": "303-237-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145713",
            "telephone_number": "303-237-4967",
            "fax_number": "303-237-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "BALLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO OWNER, AUDIOLOGIST",
        "authorized_official_telephone_number": "303-237-4967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73425222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.