Active NPI
Richard V Phillips
- Audiologist-Hearing Aid Fitter
- Sandy, UT
National Provider Identifier
1316659873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- HAD0764
- Practice address
- 11708 S Oak Manor Dr
Sandy, UT 84092-6216 - Phone
- (801) 669-0529
- NPI assigned
- Dec 15, 2022
- Last updated
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | HAD0764 | NM | Primary |
Addresses
Primary practice location
11708 S Oak Manor Dr
Sandy, UT 84092-6216
Mailing address
11708 S Oak Manor Dr
Sandy, UT 84092-6216
Phone (801) 669-0529
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
| License | State | Type | Specialty |
|---|---|---|---|
| HAD0764 | NM | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&a Financial Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1316659873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11708 S OAK MANOR DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840926216",
"telephone_number": "801-669-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11708 S OAK MANOR DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840926216",
"telephone_number": "801-669-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RICHARD",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "HAD0764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.