Active NPI
Anderson-Oconee Speech & Hearing Services
- Hearing and Speech Clinic/Center
- Anderson, SC
National Provider Identifier
1396796496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- ANDERSON-OCONEE SPEECH & HEARING SERVICES
- Practice address
- 106 Dostak Dr
Anderson, SC 29621-6606 - Phone
- (864) 226-2477
- NPI assigned
- May 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dick Brandon, AU.D.
- Title
- Executive Director
- Phone
- (864) 226-2477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
106 Dostak Dr
Anderson, SC 29621-6606
Mailing address
106 Dostak Dr
Anderson, SC 29621-6606
Phone (864) 226-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190188 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120209000203 | SC | Part B Supplier - Clinic/Group Practice | 7315104973 |
Receives reassigned benefits from 1 practitioner Practice locations: Anderson, SC |
Outpatient physical therapy / speech pathology certification: CCN 426507
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ANDERSON OCONEE SPEECH AND HEARING SERVICES
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Mar 1, 1977
- Last certification
- Sep 6, 2023
- Ownership / control type
- Voluntary Non-Profit Other Than Church
- Facility address
- 106 Dostak Drive
Anderson, SC 29621
National Provider Directory
National Provider DirectoryLocations
106 Dostak Dr
Anderson, SC 29621
Phone (864) 226-2477
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Anderson, SC
- NPI 1356934889
-
- Speech-Language Pathologist
- Anderson, SC
- NPI 1811197387
-
- Speech-Language Pathologist
- Anderson, SC
- NPI 1720090723
-
- Speech-Language Pathologist
- Anderson, SC
- NPI 1720090798
-
- Speech-Language Pathologist
- Anderson, SC
- NPI 1326249517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303084800000",
"number": "1396796496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 DOSTAK DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296216606",
"telephone_number": "864-226-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 DOSTAK DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296216606",
"telephone_number": "864-226-2477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON-OCONEE SPEECH & HEARING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2011-04-18",
"status": "A",
"authorized_official_last_name": "BRANDON",
"authorized_official_first_name": "DICK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "864-226-2477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190188",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.