Organization Active NPI

Davenport Hearing Aid Center, Inc

  • Audiologist
  • Davenport, IA
National Provider Identifier
1477601680
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
170 Issued in IA
Legal business name
DAVENPORT HEARING AID CENTER, INC
Practice address
430 W 35TH St
Davenport, IA 52806-5820
Phone
(563) 386-8885
Fax
(563) 386-5860
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Micheal Charles Charles Hartman, AU.D.
Title
Owner Doctor of Audiology
Phone
(563) 386-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 170 IA Primary

Addresses

Primary practice location

430 W 35TH St
Davenport, IA 52806-5820

Mailing address

430 W 35TH St
Davenport, IA 52806-5820
Phone (563) 386-8885

Other identifiers 1

IdentifierTypeStateIssuer
0012799MedicaidIA

Other names 1

  • Davenport Audiology Hearing Aid Center, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

430 W 35th St
Stop 2
Davenport, IA 52806
Phone (563) 362-9529

541 E North St
Geneseo, IL 61254

Practitioners & affiliated clinicians

Practitioners 1

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1477601680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065820",
            "telephone_number": "563-386-8885",
            "fax_number": "563-386-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065820",
            "telephone_number": "563-386-8885",
            "fax_number": "563-386-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT HEARING AID CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "MICHEAL CHARLES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "563-386-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IA",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012799",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Audiology Hearing Aid Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.