Organization Active NPI

Canyon Hearing Aid Center

  • Hearing Aid Equipment
  • Nampa, ID
National Provider Identifier
1457475113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
H29 Issued in ID
Legal business name
CANYON HEARING AID CENTER
Practice address
2509 Caldwell Blvd
Nampa, ID 83651-1517
Phone
(208) 466-8809
Fax
(208) 466-2223
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan Fredrick McCuskey, BC HIS
Title
Corp President Hearing Aid Dealer &
Phone
(208) 466-8809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X H29 ID Primary

Addresses

Primary practice location

2509 Caldwell Blvd
Nampa, ID 83651-1517

Mailing address

2509 Caldwell Blvd
Nampa, ID 83651-1517
Phone (208) 466-8809

National Provider Directory

National Provider Directory

Locations

2509 Caldwell Blvd
Nampa, ID 83651
Phone (208) 466-8809

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457475113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511517",
            "telephone_number": "208-466-8809",
            "fax_number": "208-466-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511517",
            "telephone_number": "208-466-8809",
            "fax_number": "208-466-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCUSKEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "CORP PRESIDENT HEARING AID DEALER &",
        "authorized_official_telephone_number": "208-466-8809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "ID",
            "license": "H29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.