Active NPI
McCandless Enterprises LLC
- Hearing Aid Equipment
- Bridgeport, WV
National Provider Identifier
1346791621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.