Organization Active NPI

Mendlik Audiology LLC

  • Audiologist
  • West Point, NE
National Provider Identifier
1316107451
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
127 Issued in NE
Legal business name
MENDLIK AUDIOLOGY LLC
Practice address
129 E Grant St
West Point, NE 68788-1814
Phone
(402) 372-3864
Fax
(402) 727-8896
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. David F Mendlik, AU.D., CCC-ANPI 1417117557
Title
Audiologist
Phone
(402) 372-3864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 127 NE Primary

Addresses

Primary practice location

129 E Grant St
West Point, NE 68788-1814

Mailing address

129 E Grant St
West Point, NE 68788-1814
Phone (402) 372-3864

Other identifiers 3

IdentifierTypeStateIssuer
099713OtherNEMEDICARE GROUP
10025278000MedicaidNE
10025278100OtherNEMEDICAID HEAR AID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000306 NE Part B Supplier - Clinic/Group Practice 0941236566 Receives reassigned benefits from 1 practitioner
Practice locations: West Point, NE

National Provider Directory

National Provider Directory

Locations

129 E Grant St
West Point, NE 68788
Phone (402) 372-3864

Practitioners & affiliated clinicians

Practitioners 1

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1316107451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E GRANT ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881814",
            "telephone_number": "402-372-3864",
            "fax_number": "402-727-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E GRANT ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881814",
            "telephone_number": "402-372-3864",
            "fax_number": "402-727-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDLIK AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MENDLIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "402-372-3864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NE",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "099713",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025278000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HEAR AID",
            "identifier": "10025278100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.