Organization Active NPI

Sonora Hearing Care, LLC

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1285811349
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0197367 Issued in AZ
Legal business name
SONORA HEARING CARE, LLC
Practice address
5625 E Grant Rd
Tucson, AZ 85712-2211
Phone
(520) 881-8740
Fax
(520) 881-0349
NPI assigned
Jan 30, 2008
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Dr. Cristi A. Moore, AUDNPI 1568661031
Title
Audiologist
Phone
(520) 881-8740

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0197367 AZ Primary
Hearing and Speech Clinic/Center 261QH0700X NU
Hearing Aid Equipment 332S00000X NU
Audiologist 231H00000X NU

Addresses

Primary practice location

5625 E Grant Rd
Tucson, AZ 85712-2211

Mailing address

5625 E Grant Rd
Tucson, AZ 85712-2211
Phone (520) 881-8740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000643 AZ Part B Supplier - Clinic/Group Practice 4789762758 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

4404 E Grant Rd
Tucson, AZ 85712
Phone (520) 881-8740

5625 E Grant Rd
Tucson, AZ 85712
Phone (520) 751-3901

5977 E Grant Rd
Ste 115B
Tucson, AZ 85712
Phone (520) 881-8740

Practitioners & affiliated clinicians

Practitioners 2

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1285811349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-881-8740",
            "fax_number": "520-881-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-881-8740",
            "fax_number": "520-881-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA HEARING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "520-881-8740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "0197367",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.