Individual provider Active NPI

Dianna Lynn Theokas, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1376659185
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-1503-DISPENSING Issued in NV
Practice address
10470 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8733
Phone
(702) 240-2059
Fax
(702) 240-2065
NPI assigned
Aug 22, 2006
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-1503-DISPENSING NV Primary
Audiologist-Hearing Aid Fitter 237600000X A-1503-DISPENSING NV

Addresses

Primary practice location

10470 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8733

Mailing address

10470 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8733
Phone (702) 240-2059

Other practice location 1

5920 S Rainbow Blvd Ste 9
Las Vegas, NV 89118-4209
Phone (702) 362-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231002033 NV Practitioner - Qualified Audiologist 0042311698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beau Taggart England LLCGroup PAC ID 1254648264, 4 clinicians

Practice addresses (Care Compare)

10470 W Cheyenne Ave
Suite 120
Las Vegas, NV 89129-8733
Phone (702) 240-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-1503-DISPENSINGNVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Beau Taggart England, LLC Audiologist CurrentSince Nov 18, 2024 Accepting new patients
Ken-Ton Hearing, P.C. Audiologist-Hearing Aid Fitter PastSince Aug 27, 2009 Accepting new patients
Lake Shore Audiology, P C Audiologist PastSince Sep 1, 1998 Accepting new patients

Locations

10470 W Cheyenne Ave
Ste 120
Las Vegas, NV 89129
Phone (702) 240-2059

5920 S Rainbow Blvd
Ste 9
Las Vegas, NV 89118
Phone (702) 240-2059

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1376659185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298733",
            "telephone_number": "702-240-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298733",
            "telephone_number": "702-240-2059",
            "fax_number": "702-240-2065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 S Rainbow Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891184209",
            "country_code": "US",
            "telephone_number": "702-362-3138",
            "fax_number": "702-873-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOKAS",
        "first_name": "DIANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-1503-DISPENSING",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "A-1503-DISPENSING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.