NPIMap

Organization Active NPI

ENT Hearing AIDS, LLC

  • Audiologist
  • Davenport, IA
National Provider Identifier
1316189715
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00593 Issued in IA
Legal business name
ENT HEARING AIDS, LLC
Practice address
3385 Dexter CT
Ste 101
Davenport, IA 52807-3494
Phone
(563) 359-1646
Fax
(563) 344-6703
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Douglas W Dvorak, MDNPI 1346229762
Title
Physician
Phone
(563) 359-1646

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
Audiologist 231H00000X 00593 IA Primary

Addresses

Primary practice location

3385 Dexter CT
Ste 101
Davenport, IA 52807-3494

Mailing address

3385 Dexter CT
Ste 101
Davenport, IA 52807-3494
Phone (563) 359-1646

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1316189715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "STE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073494",
            "telephone_number": "563-359-1646",
            "fax_number": "563-344-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "STE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073494",
            "telephone_number": "563-359-1646",
            "fax_number": "563-344-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT HEARING AIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "DVORAK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "563-359-1646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.