Organization Active NPI

Miami Valley Hearing and Balance, LLC

  • Specialist
  • Kettering, OH
National Provider Identifier
1295106516
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A-1009 Issued in OH
Legal business name
MIAMI VALLEY HEARING AND BALANCE, LLC
Practice address
4720 Wilmington Pike
Kettering, OH 45440-2021
Phone
(937) 435-5033
Fax
(937) 435-5512
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Lynn Carpenter, AUDNPI 1396962478
Title
Sole Business Owner
Phone
(937) 435-5033

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A-1009 OH Primary

Addresses

Primary practice location

4720 Wilmington Pike
Kettering, OH 45440-2021

Mailing address

4720 Wilmington Pike
Kettering, OH 45440-2021
Phone (937) 435-5033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015001172 OH Part B Supplier - Clinic/Group Practice 6901115807 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH; Vandalia, OH

National Provider Directory

National Provider Directory

Locations

7901 Schatz Pointe Dr
Ste E
Dayton, OH 45459
Phone (937) 435-5033

37 Elva Ct
Vandalia, OH 45377
Phone (937) 576-0074

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1295106516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-435-5033",
            "fax_number": "937-435-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-435-5033",
            "fax_number": "937-435-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "SOLE BUSINESS OWNER",
        "authorized_official_telephone_number": "937-435-5033",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "A-1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.