Active NPI
Springfield Hearing Center
- Hearing Instrument Specialist
- Springfield, MO
National Provider Identifier
1437450970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 000421
- Legal business name
- SPRINGFIELD HEARING CENTER
- Practice address
- 1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4261 - Phone
- (417) 881-1010
- NPI assigned
- Nov 16, 2010
- 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
- Mr. Lawrence Brethower
- Title
- Clinic Director
- Phone
- (417) 881-1010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 000421 | MO | Primary |
| Hearing Instrument Specialist | 237700000X | 2008030510 | MO |
Addresses
Primary practice location
1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4261
Mailing address
1200 E Woodhurst Dr
Suite Q-100
Springfield, MO 65804-4261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528040227 | Medicaid | MO | |
| 1972650901 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Springfield, MO
- NPI 1972650901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1437450970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E WOODHURST DR",
"address_2": "SUITE Q-100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E WOODHURST DR",
"address_2": "SUITE Q-100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044261",
"telephone_number": "417-881-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD HEARING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "BRETHOWER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "417-881-1010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "000421",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2008030510",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528040227",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972650901",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Springfield Healthcare Center LLC
- Springfield Healthcare Management LLC
- Springfield Hearing Aid Center
- Springfield Hearing Aid Center
- Springfield Hearing Center
- Springfield Internal Medicine Group
- Springfield Kids Dental PLLC
- Springfield Marriage and Family Institute, LLC
- Springfield Nephrology Associates Inc
- Springfield Neurological and Spine Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.