NPIMap

Organization Active NPI

MBD LLC Dba Miracle Ear

  • Hearing Instrument Specialist
  • Henderson, NV
National Provider Identifier
1275838799
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
#256 Issued in NV
Legal business name
MBD LLC DBA MIRACLE EAR
Practice address
1245 W. Warm Springs Rd
(Inside Sears Miracle Ear Hearing
Henderson, NV 89014
Phone
(702) 451-5363
Fax
(702) 451-5515
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Melissa MaestasNPI 1790459451
Title
Owner
Phone
(702) 451-5363

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X #256 NV Primary
Hearing Aid Equipment 332S00000X NV256 NV

Addresses

Primary practice location

1245 W. Warm Springs Rd
(Inside Sears Miracle Ear Hearing
Henderson, NV 89014

Mailing address

P.O. Box 778238
Henderson, NV 89077
Phone (702) 451-5363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1275838799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 778238",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89077",
            "telephone_number": "702-451-5363",
            "fax_number": "702-451-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 W. WARM SPRINGS RD",
            "address_2": "(INSIDE SEARS MIRACLE EAR HEARING",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-451-5363",
            "fax_number": "702-451-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBD LLC DBA MIRACLE EAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-451-5363"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "#256",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NV",
            "license": "NV256",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 14, 2011; 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.