Organization Active NPI

Avalon Hearing LLC

  • Hearing Instrument Specialist
  • Bella Vista, AR
National Provider Identifier
1366282121
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
AVALON HEARING LLC
Doing business as
Avalon Hearing LLC
Practice address
1 Etwall LN
Bella Vista, AR 72714-6313
Phone
(817) 992-9165
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Samuel Buchanan, HISNPI 1912627837
Title
Owner
Phone
(817) 992-9165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

1 Etwall LN
Bella Vista, AR 72714-6313

Mailing address

1 Etwall LN
Bella Vista, AR 72714-6313
Phone (817) 992-9165

Other names 1

  • Avalon Hearing LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1366282121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ETWALL LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727146313",
            "telephone_number": "817-992-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ETWALL LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727146313",
            "telephone_number": "817-992-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-992-9165",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Hearing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.