NPIMap

Organization Active NPI

Miracle Ear

  • Audiologist-Hearing Aid Fitter
  • Coon Rapids, MN
National Provider Identifier
1316118243
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MIRACLE EAR
Practice address
12737 Riverdale Blvd NW
Coon Rapids, MN 55448-1253
Phone
(763) 421-1688
Fax
(763) 421-1788
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mr. Timothy V Votava
Title
President
Phone
(763) 421-1688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

12737 Riverdale Blvd NW
Coon Rapids, MN 55448-1253

Mailing address

12737 Riverdale Blvd NW
Coon Rapids, MN 55448-1253
Phone (763) 421-1688

National Provider Directory

National Provider Directory
Tax ID family
Best Hearing Products7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12737 Riverdale Blvd NW
Minneapolis, MN 55448
Phone (763) 421-1688

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1316118243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 RIVERDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481253",
            "telephone_number": "763-421-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 RIVERDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481253",
            "telephone_number": "763-421-1688",
            "fax_number": "763-421-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "VOTAVA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-421-1688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.