Adam Dipuccio, C.C.C.-A.F.A.A.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA2043 Issued in AZ

Practice address

5202 E. Main St.
Suite #105
Mesa, AZ 85205-8038

Phone

(480) 218-1328

Fax

(480) 218-1330

NPI assigned

May 25, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adam Dipuccio L.L.C.

  dba Advanced Hearing

  • Audiologist
  • Mesa, AZ
  • NPI 1881708261

  O20040902001359

  Same enrollment

Specialty

Qualified Audiologist

Education

University of Cincinnati College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adam Dipuccio LLCGroup PAC ID 7719953546, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Adam Dipuccio L.L.C.

  dba Advanced Hearing

  • Audiologist
  • Mesa, AZ
  • NPI 1881708261
  Medicare reassignment Care Compare group Authorized official
• Adam Dipuccio LLC

  dba Advanced Hearing Group

  • Audiologist
  • Mesa, AZ
  • NPI 1134356421
  Authorized official Same address or phone

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1396791141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 E. MAIN ST.",
            "address_2": "SUITE #105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058038",
            "telephone_number": "480-218-1328",
            "fax_number": "480-218-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 E. MAIN ST.",
            "address_2": "SUITE #105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058038",
            "telephone_number": "480-218-1328",
            "fax_number": "480-218-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPUCCIO",
        "first_name": "ADAM",
        "credential": "C.C.C.-A.F.A.A.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894164",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396791141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LIC #",
            "identifier": "DA2043",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1881708261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP UPIN",
            "identifier": "Y16021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Hadji Momenian Dinarte, M.D.
• Nikkita Dinnella, PMHNP
• Richard James Dinsdale, MD
• Michael Dipede, PHARMD
• Heidi Dippold
• Gerald Lee Diquattro, DDS
• Direct Growth LLC
• Directly Affected
• John Francis Dirks, D.D.S.
• Disability Development Resources, LLC

• Audiologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.