NPIMap

Organization Active NPI

Custom Hearing LLC

  • Hearing Aid Equipment
  • Waterville, ME
National Provider Identifier
1356896872
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
CUSTOM HEARING LLC
Practice address
323 Main St
Waterville, ME 04901-4922
Phone
(207) 616-3700
Fax
(207) 616-3742
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Jason Frasier
Title
Hearing Instrument Specialist
Phone
(207) 616-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

323 Main St
Waterville, ME 04901-4922

Mailing address

131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (401) 353-4174

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Custom Hearing LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

323 Main St
Waterville, ME 04901
Phone (207) 616-3164

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1356896872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326",
            "telephone_number": "401-353-4174",
            "fax_number": "401-488-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014922",
            "telephone_number": "207-616-3700",
            "fax_number": "207-616-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "207-616-3700"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.