Individual provider Active NPI

Jordan Burch

  • Audiologist-Hearing Aid Fitter
  • Dayton, OH
National Provider Identifier
1275192742
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
6601 Centerville Business Pkwy
Dayton, OH 45459-2691
Phone
(937) 435-7476
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

6601 Centerville Business Pkwy
Dayton, OH 45459-2691

Mailing address

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402-2642
Phone (937) 496-2620

Other names 1

  • Jordan Graf Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://hillcresthearing.com/locations.php

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1275192742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD",
            "address_2": "STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022642",
            "telephone_number": "937-496-2620",
            "fax_number": "937-424-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592691",
            "telephone_number": "937-435-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://hillcresthearing.com/locations.php",
            "affiliation": "N",
            "address_1": "6601 Centerville Business Pkwy Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454592690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "GRAF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.