NPIMap

Organization Active NPI

American Advanced Hearing Aid LLC

  • Hearing Aid Equipment
  • Everett, WA
National Provider Identifier
1356580310
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
602595119 Issued in WA
Legal business name
AMERICAN ADVANCED HEARING AID LLC
Practice address
121 SE Everett Mall Way
Suite B
Everett, WA 98208
Phone
(425) 265-1100
Fax
(425) 265-1199
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Jamal M Dashti, H.I.S.
Title
Owner
Phone
(425) 265-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X HA00002879 WA
Hearing Aid Equipment 332S00000X 60259511900 WA
Hearing Aid Equipment 332S00000X 602595119 WA Primary

Addresses

Primary practice location

121 SE Everett Mall Way
Suite B
Everett, WA 98208

Mailing address

121 SE Everett Mall Way
Suite B
Everett, WA 98208
Phone (425) 265-1100

Other identifiers 3

IdentifierTypeStateIssuer
8067696MedicaidWA
9058215MedicaidWA
215045OtherWAL & I

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1356580310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SE EVERETT MALL WAY",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-265-1100",
            "fax_number": "425-265-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE EVERETT MALL WAY",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-265-1100",
            "fax_number": "425-265-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADVANCED HEARING AID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "DASHTI",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-265-1100",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00002879",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "60259511900",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "602595119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8067696",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058215",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "215045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.