Organization Active NPI

Hearing Care Center

  • Audiologist
  • Winston Salem, NC
National Provider Identifier
1508857228
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4289 Issued in NC
Legal business name
HEARING CARE CENTER
Practice address
3111 Maplewood Ave
Suite 107
Winston Salem, NC 27103-3906
Phone
(336) 659-9569
Fax
(336) 768-8379
NPI assigned
Nov 2, 2005
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Carol M Rexrode
Title
Owner
Phone
(336) 659-9569

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 4289 NC Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 6712 NC
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 598 NC

Addresses

Primary practice location

3111 Maplewood Ave
Suite 107
Winston Salem, NC 27103-3906

Mailing address

3111 Maplewood Ave
Suite 107
Winston Salem, NC 27103-3906
Phone (336) 659-9569

Other identifiers 6

IdentifierTypeStateIssuer
045HVOtherNCBCBS
7640200OtherNCAETNA
2723795OtherNCAETRNA
7211722MedicaidNC
#01629OtherNCBCBS
42343OtherNCPARTNERS

National Provider Directory

National Provider Directory

Locations

3111 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 765-8130

3111 Maplewood Ave
Ste 107
Winston Salem, NC 27103
Phone (336) 659-9569

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1508857228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MAPLEWOOD AVE",
            "address_2": "SUITE 107",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033906",
            "telephone_number": "336-659-9569",
            "fax_number": "336-768-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 MAPLEWOOD AVE",
            "address_2": "SUITE 107",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033906",
            "telephone_number": "336-659-9569",
            "fax_number": "336-768-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "REXRODE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-659-9569"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "4289",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6712",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "045HV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7640200",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETRNA",
            "identifier": "2723795",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211722",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "#01629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "42343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.