Organization Active NPI

McCandless Enterprises LLC

  • Hearing Aid Equipment
  • Bridgeport, WV
National Provider Identifier
1346791621
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
MCCANDLESS ENTERPRISES LLC
Doing business as
Miracle-Ear
Practice address
1400 Johnson Ave
Suite 4N
Bridgeport, WV 26330-1063
Phone
(304) 842-3050
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mrs. Stephanie Lynne McCandless, MBA
Title
Mananging Member
Phone
(304) 612-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X WV Primary

Addresses

Primary practice location

1400 Johnson Ave
Suite 4N
Bridgeport, WV 26330-1063

Mailing address

1400 Johnson Ave
Suite 4N
Bridgeport, WV 26330-1063
Phone (304) 842-3050

Other names 1

  • Miracle-Ear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1346791621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JOHNSON AVE",
            "address_2": "SUITE 4N",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301063",
            "telephone_number": "304-842-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JOHNSON AVE",
            "address_2": "SUITE 4N",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301063",
            "telephone_number": "304-842-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANDLESS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MCCANDLESS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANANGING MEMBER",
        "authorized_official_telephone_number": "304-612-4010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.