Active NPI
Centers for Hearing, Inc.
- Audiologist
- Crown Point, IN
National Provider Identifier
1306029749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- CENTERS FOR HEARING, INC.
- Practice address
- 11496 Broadway
Crown Point, IN 46307-7106 - Phone
- (219) 662-9103
- Fax
- (219) 662-9186
- NPI assigned
- Dec 7, 2007
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger D Paul, AU.D.
- Title
- President
- Phone
- (219) 662-9103
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Assistive Technology Supplier Audiologist | 231HA2500X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Hearing Instrument Specialist | 237700000X |
Addresses
Primary practice location
11496 Broadway
Crown Point, IN 46307-7106
Mailing address
1653 Thornapple Cir
Valparaiso, IN 46385-5496
Phone (219) 477-4730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000549350 | Other | IN | ANTHEM |
| 200535410A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1653 Thornapple Cir
Valparaiso, IN 46385
Phone (219) 477-4473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1306029749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 THORNAPPLE CIR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463855496",
"telephone_number": "219-477-4730",
"fax_number": "219-462-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11496 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "219-662-9103",
"fax_number": "219-662-9186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTERS FOR HEARING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-662-9103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000549350",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200535410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.