NPIMap

Organization Active NPI

William Diles, Inc.

  • Audiologist
  • Santa Rosa, CA
National Provider Identifier
1477598050
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU973 Issued in CA
Legal business name
WILLIAM DILES, INC.
Practice address
55 Mission Cir. #105
Santa Rosa, CA 95409
Phone
(707) 538-1000
Fax
(707) 538-1013
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Christine Gentry Diles, AU.D.NPI 1497859425
Title
Secretary
Phone
(707) 538-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AU973 CA Primary

Addresses

Primary practice location

55 Mission Cir. #105
Santa Rosa, CA 95409

Mailing address

55 Mission Ave. #105
Santa Rosa, CA 95409
Phone (707) 538-1000

Other identifiers 1

IdentifierTypeStateIssuer
HAD000150MedicaidCA

Other names 1

  • Kenwood Hearing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1477598050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MISSION AVE. #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION CIR. #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "DILES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "GENTRY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-538-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAD000150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.