Richard Perry Tibbils, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1477 Issued in KS

Practice address

1872 Tamiami TRL S Ste B
Venice, FL 34293-3129

Phone

(941) 244-2922

Fax

(941) 244-2923

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• A1 America'S Hearing Clinics Inc

  • Audiologist-Hearing Aid Fitter
  • Lawrence, KS
  • NPI 1275672719
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1386782258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 TAMIAMI TRL S STE B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933129",
            "telephone_number": "941-244-2922",
            "fax_number": "941-244-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 TAMIAMI TRL S STE B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933129",
            "telephone_number": "941-244-2922",
            "fax_number": "941-244-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBILS",
        "first_name": "RICHARD",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "1477",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J0004",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000130C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Tilka, D.C.
• Louren Mayh B Toboso
• Todays Dentistry PA
• Nancy Jean Todoroff, COTA
• Cindy Perry Toepfer, DO

• Audiologist-Hearing Aid Fitter in Venice, FL
• Providers in Venice, FL by specialty
• Audiologist-Hearing Aid Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.