Organization Active NPI

Anderson-Oconee Speech & Hearing Services

  • Hearing and Speech Clinic/Center
  • Anderson, SC
National Provider Identifier
1396796496
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
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

Updated by the provider on Apr 18, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
190188MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

Verify at the official NPI Registry.