Individual provider Active NPI

Arthur B Mines, M.A. CCC-A

  • Audiologist
  • Greensboro, NC
National Provider Identifier
1295853463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3042 Issued in NC
Practice address
122 N Elm St
Suite 400
Greensboro, NC 27401-2878
Phone
(336) 334-5601
Fax
(336) 334-5657
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3042 NC Primary

Addresses

Primary practice location

122 N Elm St
Suite 400
Greensboro, NC 27401-2878

Mailing address

2715 Wagner BND
Hillsborough, NC 27278-9459
Phone (919) 732-6030

Other identifiers 2

IdentifierTypeStateIssuer
1202JOtherNCBLUE CROSS BLUE SHIELD
3403407MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3042NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WAGNER BND",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789459",
            "telephone_number": "919-732-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N ELM ST",
            "address_2": "SUITE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012878",
            "telephone_number": "336-334-5601",
            "fax_number": "336-334-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINES",
        "first_name": "ARTHUR",
        "middle_name": "B",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1202J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.