Alan Louis Desmond, AUD CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0074 Issued in WV

Practice address

508 New Hope Road
Suite #19
Princeton, WV 24740-2272

Phone

(304) 487-2487

Fax

(304) 431-3367

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Princeton Audiology Clinic, Inc.,

  • Hearing Aid Equipment
  • Princeton, WV
  • NPI 1073580817

  Audiologist, WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1275501439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE ROAD",
            "address_2": "SUITE #19",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402272",
            "telephone_number": "304-487-2487",
            "fax_number": "304-431-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE ROAD",
            "address_2": "SUITE #19",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402272",
            "telephone_number": "304-487-2487",
            "fax_number": "304-431-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "ALAN",
        "middle_name": "LOUIS",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A0074",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000219",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9460000000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE PTAN NUMBER BLFD OFFICE",
            "identifier": "DE0534283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9450513",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE PTAN NUMBER PCTN OFFICE",
            "identifier": "DE0534282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PALMETTO GBA",
            "identifier": "640000237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darleen Demoura, L.G.S.W.
• Stephanie Dempsey
• Goldie Dennis
• Derm One PLLC
• Dana R. Deskins, LMT
• Carl Andrew Desplaines
• Lindsey Devaughn, MSW
• Staccotta Dickerson
• Ashley Diffenbach
• Cody Blake Dillon, PTA

• All providers in Princeton, WV
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.