Individual provider Active NPI

Allen Floyd Enders Jr.

  • Hearing Instrument Specialist
  • Orange, CA
National Provider Identifier
1467980136
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-8029 Issued in CA
Practice address
1467 N Wanda Rd Ste 135
Orange, CA 92867-5344
Phone
(657) 272-0426
NPI assigned
May 25, 2017
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-8029 CA Primary

Addresses

Primary practice location

1467 N Wanda Rd Ste 135
Orange, CA 92867-5344

Mailing address

1467 N Wanda Rd Ste 135
Orange, CA 92867-5344
Phone (657) 272-0426

Other identifiers 1

IdentifierTypeStateIssuer
81-5390601OtherCAHEARING AIDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA-8029CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Hearing 4 Less Audiologist-Hearing Aid Fitter CurrentSince Apr 26, 2020 Accepting new patients

Locations

1467 N Wanda Rd
Ste 135
Orange, CA 92867
Phone (657) 272-0426

1940 N Tustin St
Ste 121
Orange, CA 92865

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1467980136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 N WANDA RD STE 135",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675344",
            "telephone_number": "657-272-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 N WANDA RD STE 135",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675344",
            "telephone_number": "657-272-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "ALLEN",
        "middle_name": "FLOYD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA-8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AIDS",
            "identifier": "81-5390601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

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