Organization Active NPI

Beaver Dam Hearing Care, LLC

  • Hearing Aid Equipment
  • Beaver Dam, WI
National Provider Identifier
1376090886
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
BEAVER DAM HEARING CARE, LLC
Practice address
106 Frances LN Ste F
Beaver Dam, WI 53916-1167
Phone
(920) 887-0509
Fax
(920) 887-0518
NPI assigned
Sep 1, 2016
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dr. Candy A McGinnis, AU.D.
Title
Audiologist/Owner
Phone
(920) 289-0582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

106 Frances LN Ste F
Beaver Dam, WI 53916-1167

Mailing address

106 Frances LN Ste F
Beaver Dam, WI 53916-1167
Phone (920) 887-0509

National Provider Directory

National Provider Directory

Locations

106 Frances Ln
Ste F
Beaver Dam, WI 53916
Phone (920) 319-4219

705 S University Ave
Ste 170
Beaver Dam, WI 53916
Phone (414) 887-0509

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1376090886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FRANCES LN STE F",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161167",
            "telephone_number": "920-887-0509",
            "fax_number": "920-887-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FRANCES LN STE F",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161167",
            "telephone_number": "920-887-0509",
            "fax_number": "920-887-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER DAM HEARING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "920-289-0582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.