Active NPI
Angel Ignacio Ibanez
- Hearing Instrument Specialist
- Athens, AL
National Provider Identifier
1356992135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2305
- Practice address
- 809 US Highway 72 W
Athens, AL 35611-4236 - Phone
- (256) 233-3844
- NPI assigned
- Sep 24, 2019
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2305 | AL | Primary |
Addresses
Primary practice location
809 US Highway 72 W
Athens, AL 35611-4236
Mailing address
3809 Sullivan St Ste 2
Madison, AL 35758-2366
Phone (256) 325-1774
Other practice location 1
12835 Highway 231 431 N Ste B
Hazel Green, AL 35750-6601
Phone (256) 828-5551
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1356992135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 SULLIVAN ST STE 2",
"city": "MADISON",
"state": "AL",
"postal_code": "357582366",
"telephone_number": "256-325-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 US HIGHWAY 72 W",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114236",
"telephone_number": "256-233-3844"
}
],
"practiceLocations": [
{
"address_1": "12835 Highway 231 431 N Ste B",
"address_purpose": "LOCATION",
"city": "Hazel Green",
"state": "AL",
"postal_code": "357506601",
"country_code": "US",
"telephone_number": "256-828-5551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBANEZ",
"first_name": "ANGEL",
"middle_name": "IGNACIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "2305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.