Organization Active NPI

Dover Audiology, P.a.

  • Audiologist-Hearing Aid Fitter
  • Dover Foxcroft, ME
National Provider Identifier
1376041590
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AP1360 Issued in ME
Legal business name
DOVER AUDIOLOGY, P.A.
Practice address
859 W Main St
Dover Foxcroft, ME 04426-1020
Phone
(207) 564-3337
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Chris Robert Clukey, MA,CCC-A
Title
Ownver
Phone
(207) 564-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AP1360 ME Primary

Addresses

Primary practice location

859 W Main St
Dover Foxcroft, ME 04426-1020

Mailing address

859 W Main St
Dover Foxcroft, ME 04426-1020
Phone (207) 564-3337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1376041590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261020",
            "telephone_number": "207-564-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261020",
            "telephone_number": "207-564-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER AUDIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "CLUKEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNVER",
        "authorized_official_telephone_number": "207-564-3337",
        "authorized_official_credential": "MA,CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.