Active NPI
Audiology and Balance Services
- Audiologist-Hearing Aid Fitter
- Bentonville, AR
National Provider Identifier
1508192345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A-170
- Legal business name
- AUDIOLOGY AND BALANCE SERVICES
- Doing business as
- Balanced Ear
- Practice address
- 1501 SE Walton Blvd
Suite 119
Bentonville, AR 72712-3734 - Phone
- (479) 254-0011
- Fax
- (479) 254-0710
- NPI assigned
- Oct 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carol Ann Chinn, AUD
- Title
- Audiologist / Owner
- Phone
- (479) 254-0011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A-170 | AR | Primary |
Addresses
Primary practice location
1501 SE Walton Blvd
Suite 119
Bentonville, AR 72712-3734
Mailing address
1501 SE Walton Blvd
Suite 119
Bentonville, AR 72712-3734
Phone (479) 254-0011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640004342 | Other | RAILROAD MEDICARE | |
| 143987720 | Medicaid | AR | |
| 335401501 | Medicaid | MO |
Other names 1
- Balanced Ear
National Provider Directory
National Provider DirectoryLocations
1501 SE Walton Blvd
Ste 119
Bentonville, AR 72712
Phone (479) 254-0011
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bentonville, AR
- NPI 1942869060
-
- Audiologist
- Bentonville, AR
- NPI 1629362892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381190400000",
"number": "1508192345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SE WALTON BLVD",
"address_2": "SUITE 119",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123734",
"telephone_number": "479-254-0011",
"fax_number": "479-254-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SE WALTON BLVD",
"address_2": "SUITE 119",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123734",
"telephone_number": "479-254-0011",
"fax_number": "479-254-0710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY AND BALANCE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-29",
"last_updated": "2013-10-08",
"status": "A",
"authorized_official_last_name": "CHINN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "AUDIOLOGIST / OWNER",
"authorized_official_telephone_number": "479-254-0011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AR",
"license": "A-170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "640004342",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143987720",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335401501",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Ear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.