NPIMap

Organization Active NPI

East Coast Hearing and Balance, Inc.

  • Audiologist
  • Morehead City, NC
National Provider Identifier
1487064846
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10758 Issued in NC
Legal business name
EAST COAST HEARING AND BALANCE, INC.
Practice address
5000 US Highway 70 W
Suite 103
Morehead City, NC 28557-4531
Phone
(252) 773-0636
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Dr. Gary Christopher Gaines II, AUD, PHD, CCC-ANPI 1902147853
Title
Owner/Practitioner
Phone
(252) 773-0636

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 10758 NC Primary
Assistive Technology Practitioner AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2400X
Assistive Technology Supplier AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2500X
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X

Addresses

Primary practice location

5000 US Highway 70 W
Suite 103
Morehead City, NC 28557-4531

Mailing address

5000 US Highway 70 W
Suite 103
Morehead City, NC 28557-4531
Phone (919) 302-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714001755 NC Part B Supplier - Clinic/Group Practice 2769607449 Receives reassigned benefits from 9 practitioners
Practice locations: Raleigh, NC; New Bern, NC; Greenville, NC; Morehead City, NC; Leland, NC; Charlotte, NC; Cape Carteret, NC

National Provider Directory

National Provider Directory

Locations

940 SE Cary Pkwy
Ste 104
Cary, NC 27518
Phone (919) 344-0180

2315 W Arbors Dr
Ste 120
Charlotte, NC 28262
Phone (252) 773-0636

1706 US Highway 70 E
Ste E
New Bern, NC 28560

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1487064846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 70 W",
            "address_2": "SUITE 103",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574531",
            "telephone_number": "919-302-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 70 W",
            "address_2": "SUITE 103",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574531",
            "telephone_number": "252-773-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST HEARING AND BALANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "252-773-0636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "AUD, PHD, CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "10758",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.