NPIMap

Organization Active NPI

Northland Hearing Centers, Inc.

  • Audiologist-Hearing Aid Fitter
  • Jacksonville, FL
National Provider Identifier
1376848770
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
NORTHLAND HEARING CENTERS, INC.
Practice address
6020 San Jose Blvd
Suite 615
Jacksonville, FL 32217-2365
Phone
(904) 425-4393
NPI assigned
Jan 14, 2011
Reactivated
May 28, 2014
Organization subpart
Yes
Parent organization
NORTHLAND HEARING CENTERS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Jeffrey L. Longtain
Title
President
Phone
(702) 798-0113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X

Addresses

Primary practice location

6020 San Jose Blvd
Suite 615
Jacksonville, FL 32217-2365

Mailing address

2510 E Sunset Rd
Unit 5-260
Las Vegas, NV 89120-3511
Phone (702) 798-0113

Other names 1

  • US Hearing Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Hearing Cntrs Inc922 organizations share this tax ID, including this one
Part of
Northland Hearing Cntrs Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6020 San Jose Blvd W
Ste 615
Jacksonville, FL 32217
Phone (904) 425-4393

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1376848770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E SUNSET RD",
            "address_2": "UNIT 5-260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203511",
            "telephone_number": "702-798-0113",
            "fax_number": "866-291-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 SAN JOSE BLVD",
            "address_2": "SUITE 615",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172365",
            "telephone_number": "904-425-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND HEARING CENTERS INC.",
        "enumeration_date": "2011-01-14",
        "last_updated": "2014-12-29",
        "deactivation_date": "2014-04-22",
        "reactivation_date": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "LONGTAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-798-0113"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Hearing Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.