Individual provider Active NPI

David James Higginbotham

  • Hearing Instrument Specialist
  • Yukon, OK
National Provider Identifier
1306092176
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
943 Issued in OK
Practice address
10932 NW Expressway Ste B-3
Yukon, OK 73099-8763
Phone
(405) 777-3066
Fax
(888) 527-1140
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 943 OK Primary

Addresses

Primary practice location

10932 NW Expressway Ste B-3
Yukon, OK 73099-8763

Mailing address

10932 NW Expressway Ste B-3
Yukon, OK 73099-8763
Phone (405) 777-3066

Other practice location 1

1107 Main St Ste 3
Woodward, OK 73801-3116
Phone (580) 727-5321

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

State licenses

LicenseStateTypeSpecialty
943OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Higginbotham Hearing, LLC CurrentSince Sep 23, 2024 Accepting new patients
Higginbotham Hearing, LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

1107 Main St
Ste 3
Woodward, OK 73801
Phone (580) 727-5321

10932 NW Expressway
Ste B3
Yukon, OK 73099
Phone (405) 777-3066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1306092176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10932 NW EXPRESSWAY STE B-3",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998763",
            "telephone_number": "405-777-3066",
            "fax_number": "888-527-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10932 NW EXPRESSWAY STE B-3",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998763",
            "telephone_number": "405-777-3066",
            "fax_number": "888-527-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738013116",
            "country_code": "US",
            "telephone_number": "580-727-5321",
            "fax_number": "888-527-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.