Individual provider Active NPI

Todd Anthony Laack, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1295747905
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-249 Issued in NV
Practice address
3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone
(702) 735-7668
Fax
(702) 735-1411
NPI assigned
Aug 12, 2006
Last updated
May 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-249 NV Primary
Audiologist-Hearing Aid Fitter 237600000X A-249 NV
Hearing Instrument Specialist 237700000X A-249 NV

Addresses

Primary practice location

3692 E Sunset Rd
Las Vegas, NV 89120-7237

Mailing address

PO Box 33910
Las Vegas, NV 89133-3910
Phone (702) 735-7668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001875 NE Practitioner - Qualified Audiologist 7810286788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
402NEMDClinical Psychologist
A-249NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Dec 1, 2021 Accepting new patients
Sean D. Palacios MD PLLC PastSince Dec 1, 2011 Accepting new patients

Locations

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1295747905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33910",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333910",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAACK",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-249",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "A-249",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "A-249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.