Organization Active NPI

Audiology and Balance Services

  • Audiologist-Hearing Aid Fitter
  • Bentonville, AR
National Provider Identifier
1508192345
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A-170 Issued in AR
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

Updated by the provider on Oct 8, 2013

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)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
640004342OtherRAILROAD MEDICARE
143987720MedicaidAR
335401501MedicaidMO

Other names 1

  • Balanced Ear Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.