NPIMap

Organization Active NPI

Professional Hearing Aid Ctr

  • Hearing Aid Equipment
  • Greenville, TN
National Provider Identifier
1275779555
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
0000515 Issued in TN
Legal business name
PROFESSIONAL HEARING AID CTR
Practice address
705 Professional Plaza
#3
Greenville, TN 37745
Phone
(423) 638-4158
Fax
(423) 638-4158
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Miss Carol Caecilia BlackNPI 1962663294
Title
Owner/Dispenser
Phone
(423) 638-4158

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)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 0000515 TN Primary

Addresses

Primary practice location

705 Professional Plaza
#3
Greenville, TN 37745

Mailing address

705 Professional Plaza
#3
Greenville, TN 37745
Phone (423) 638-4158

National Provider Directory

National Provider Directory

Locations

705 Professional Plaza Dr
Ste 3
Greeneville, TN 37745
Phone (423) 638-4158

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1275779555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PROFESSIONAL PLAZA",
            "address_2": "#3",
            "city": "GREENVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-638-4158",
            "fax_number": "423-638-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PROFESSIONAL PLAZA",
            "address_2": "#3",
            "city": "GREENVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-638-4158",
            "fax_number": "423-638-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING AID CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "CAECILIA",
        "authorized_official_title_or_position": "OWNER/DISPENSER",
        "authorized_official_telephone_number": "423-638-4158",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TN",
            "license": "0000515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.