Organization Active NPI

Sharp Hearing LLC

  • Audiologist
  • Salt Lake City, UT
National Provider Identifier
1417539172
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
SHARP HEARING LLC
Practice address
140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855
Phone
(801) 484-3277
Fax
(801) 666-2027
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Mark McOmie, AU.DNPI 1275925752
Title
Owner/Provider
Phone
(801) 484-3277

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855

Mailing address

140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855
Phone (801) 484-3277

Other names 1

  • Sharp Hearing and Balance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716004490 UT Part B Supplier - Clinic/Group Practice 0749679421 Receives reassigned benefits from 2 practitioners
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

140 W 2100 S
Ste 120
Salt Lake City, UT 84115
Phone (801) 484-3277

Practitioners & affiliated clinicians

Practitioners 3

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1417539172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151855",
            "telephone_number": "801-484-3277",
            "fax_number": "801-666-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151855",
            "telephone_number": "801-484-3277",
            "fax_number": "801-666-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MCOMIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-484-3277",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Hearing and Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.