Organization Active NPI

Desert Vista Hearing LLC

  • Hearing Instrument Specialist
  • Tucson, AZ
National Provider Identifier
1366724916
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
BHAD6488 Issued in AZ
Legal business name
DESERT VISTA HEARING LLC
Practice address
7609 E Speedway Blvd
Tucson, AZ 85710-8832
Phone
(520) 722-4327
Fax
(520) 722-4325
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Kerry Wayne Hamm, HISNPI 1659653202
Title
Owner
Phone
(520) 722-4327

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: 193400000X SINGLE SPECIALTY GROUP 237700000X BHAD6488 AZ Primary

Addresses

Primary practice location

7609 E Speedway Blvd
Tucson, AZ 85710-8832

Mailing address

7609 E Speedway Blvd
Tucson, AZ 85710-8832
Phone (520) 722-4327

National Provider Directory

National Provider Directory

Locations

7609 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 722-4327

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": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1366724916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108832",
            "telephone_number": "520-722-4327",
            "fax_number": "520-722-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108832",
            "telephone_number": "520-722-4327",
            "fax_number": "520-722-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VISTA HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-722-4327",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "BHAD6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.