Organization Active NPI

Cdpa, Inc

Doing business as Lake Regional Hearing Center

  • Hearing Aid Equipment
  • Leesburg, FL
National Provider Identifier
1386967438
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
AS4310 Issued in FL
Legal business name
CDPA, INC
Doing business as
Lake Regional Hearing Center
Practice address
8112 Centralia CT
Suite 104
Leesburg, FL 34788-3700
Phone
(352) 360-0554
Fax
(352) 360-1788
NPI assigned
Mar 3, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Mr. Darrick T Aynes, HISNPI 1740414044
Title
Owner/Hearing Instrument Specialist
Phone
(352) 360-0554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X AS4310 FL Primary

Addresses

Primary practice location

8112 Centralia CT
Suite 104
Leesburg, FL 34788-3700

Mailing address

8112 Centralia CT
Suite 104
Leesburg, FL 34788-3700
Phone (352) 360-0554

Other identifiers 2

IdentifierTypeStateIssuer
J001MOtherFLBCBS
J001ROtherFLBCBS

Other names 1

  • Lake Regional Hearing Center Doing business as

National Provider Directory

National Provider Directory

Locations

8112 Centralia Ct
Ste 104
Leesburg, FL 34788
Phone (352) 360-0554

Practitioners & affiliated clinicians

Practitioners 1

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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1386967438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT",
            "address_2": "SUITE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883700",
            "telephone_number": "352-360-0554",
            "fax_number": "352-360-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT",
            "address_2": "SUITE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883700",
            "telephone_number": "352-360-0554",
            "fax_number": "352-360-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "AYNES",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "352-360-0554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS4310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J001M",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J001R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Regional Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.