Organization Active NPI

Advanced Hearing Care, LLC

  • Audiologist
  • Las Cruces, NM
National Provider Identifier
1386902773
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1807 Issued in NM
Legal business name
ADVANCED HEARING CARE, LLC
Practice address
4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone
(575) 521-9795
NPI assigned
Apr 24, 2012
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Kelly M Frost, AUD
Title
Owner
Phone
(575) 521-9795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1807 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258

Mailing address

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone (575) 527-9795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000466 NM Part B Supplier - Clinic/Group Practice 1850549668 Receives reassigned benefits from 8 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

4351 E Lohman Ave
Ste 103
Las Cruces, NM 88011
Phone (575) 521-9795

311 W Country Club Rd
Ste 2
Roswell, NM 88201
Phone (575) 627-0179

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1386902773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-527-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-521-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEARING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-521-9795",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.