NPIMap

Organization Active NPI

Manna Audiology and Hearing Aid

  • Audiologist
  • Matthews, NC
National Provider Identifier
1295917276
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5632 Issued in NC
Legal business name
MANNA AUDIOLOGY AND HEARING AID
Practice address
542 W John St
Matthews, NC 28105-5353
Phone
(704) 845-1717
Fax
(704) 845-1711
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Kurt D. Wright, M.A., CCC-A
Title
Owner/Audiologist
Phone
(704) 845-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 5632 NC Primary

Addresses

Primary practice location

542 W John St
Matthews, NC 28105-5353

Mailing address

542 W John St
Matthews, NC 28105-5353
Phone (704) 845-1717

Other identifiers 1

IdentifierTypeStateIssuer
135JMOtherNCBCBSNC

Other names 1

  • Manna Audiology and Hearing Aid Center Other name

National Provider Directory

National Provider Directory

Locations

542 W John St
Matthews, NC 28105
Phone (704) 845-1717

Practitioners & affiliated clinicians

Practitioners 3

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1295917276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-845-1717",
            "fax_number": "704-845-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-845-1717",
            "fax_number": "704-845-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA AUDIOLOGY AND HEARING AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "704-845-1717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "135JM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manna Audiology and Hearing Aid Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.