Active NPI
Doctors Hearing Center LLC Xiii
- Otolaryngology Physician
- Bolivar, MO
National Provider Identifier
1316017445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- DOCTORS HEARING CENTER LLC XIII
- Practice address
- 413 S Springfield Ave
Bolivar, MO 65613 - Phone
- (417) 326-2654
- Fax
- (417) 326-2654
- NPI assigned
- Nov 8, 2006
- 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
- Mr. Ronald F Davis
- Title
- Partner Sec Treas
- Phone
- (501) 985-9944
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Otolaryngology Physician | 207Y00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
413 S Springfield Ave
Bolivar, MO 65613
Mailing address
2227 West Main Street
Jacksonville, AR 72076
Phone (501) 985-9944
Other names 1
- Doctors Testing Center
National Provider Directory
National Provider Directory- Tax ID family
- Doctors Hearing Center LLC XII
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Springfield, MO
- NPI 1255401378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316017445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 WEST MAIN STREET",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "72076",
"telephone_number": "501-985-9944",
"fax_number": "501-985-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 S SPRINGFIELD AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "65613",
"telephone_number": "417-326-2654",
"fax_number": "417-326-2654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS HEARING CENTER LLC XIII",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PARTNER SEC TREAS",
"authorized_official_telephone_number": "501-985-9944",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctors Testing Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.