Organization Active NPI

Moog Center for Deaf Education

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1407893985
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MOOG CENTER FOR DEAF EDUCATION
Practice address
12300 South Forty Drive
St. Louis, MO 63141
Phone
(314) 692-7172
Fax
(314) 692-8544
NPI assigned
Jun 1, 2006
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Betsy Moog BrooksNPI 1437375532
Title
Director of the Family School
Phone
(314) 692-7172

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Assistive Technology Practitioner AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2400X
Assistive Technology Supplier AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2500X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X

Addresses

Primary practice location

12300 South Forty Drive
St. Louis, MO 63141

Mailing address

12300 South Forty Drive
St. Louis, MO 63141
Phone (314) 692-7172

National Provider Directory

National Provider Directory

Locations

12300 S 40 Dr
Saint Louis, MO 63141
Phone (314) 692-7172

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1407893985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 SOUTH FORTY DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-692-7172",
            "fax_number": "314-692-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 SOUTH FORTY DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-692-7172",
            "fax_number": "314-692-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOG CENTER FOR DEAF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "MOOG",
        "authorized_official_title_or_position": "DIRECTOR OF THE FAMILY SCHOOL",
        "authorized_official_telephone_number": "314-692-7172"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.