Organization Active NPI

Menm, LLC

Doing business as Miracle Ear

  • Audiologist-Hearing Aid Fitter
  • Novato, CA
National Provider Identifier
1437844354
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MENM, LLC
Doing business as
Miracle Ear
Practice address
208 Vintage Way
Novato, CA 94945-5014
Phone
(415) 892-1200
NPI assigned
Apr 6, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Nidia Garcia
Title
Coo
Phone
(254) 227-6825

Specialties & licenses 1

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

Addresses

Primary practice location

208 Vintage Way
Novato, CA 94945-5014

Mailing address

8300 Central Park Dr Ste 100
Waco, TX 76712-6666
Phone (415) 892-1200

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Menm LLC118 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

208 Vintage Way
Novato, CA 94945
Phone (415) 892-1200

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1437844354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CENTRAL PARK DR STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126666",
            "telephone_number": "415-892-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VINTAGE WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455014",
            "telephone_number": "415-892-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "254-227-6825"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.