Organization Active NPI

Hearaid LLC

  • Audiologist-Hearing Aid Fitter
  • Pueblo, CO
National Provider Identifier
1437331204
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
14456 Issued in CO
Legal business name
HEARAID LLC
Practice address
3595 E Spaulding Ave Unit a
Pueblo, CO 81008-2208
Phone
(719) 544-3828
Fax
(719) 544-3138
NPI assigned
Dec 3, 2007
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mr. Thomas M. Cichon
Title
Owner
Phone
(719) 544-3828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 14456 CO Primary

Addresses

Primary practice location

3595 E Spaulding Ave Unit a
Pueblo, CO 81008-2208

Mailing address

3595 E Spaulding Ave Unit a
Pueblo, CO 81008-2208
Phone (719) 544-3828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000215 CO Part B Supplier - Clinic/Group Practice 7214005784 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

3595 E Spaulding Ave
Ste A
Pueblo, CO 81008
Phone (719) 544-3828

830 W US Highway 50
Pueblo, CO 81008
Phone (719) 544-3828

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1437331204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 E SPAULDING AVE UNIT A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-544-3828",
            "fax_number": "719-544-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 E SPAULDING AVE UNIT A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-544-3828",
            "fax_number": "719-544-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARAID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-544-3828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "14456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.