Active NPI
Hearing Care Center
- Audiologist
- Winston Salem, NC
National Provider Identifier
1508857228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4289
- 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, 2010
- 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
- Carol M Rexrode
- Title
- Owner
- Phone
- (336) 659-9569
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4289 | NC | Primary |
| Audiologist | 231H00000X | 6712 | NC | |
| Hearing Instrument Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045HV | Other | NC | BCBS |
| 7640200 | Other | NC | AETNA |
| 2723795 | Other | NC | AETRNA |
| 7211722 | Medicaid | NC | |
| #01629 | Other | NC | BCBS |
| 42343 | Other | NC | PARTNERS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Greensboro, NC
- NPI 1235120007
-
- Audiologist
- Greensboro, NC
- NPI 1255482469
-
- Hearing Instrument Specialist
- Winston Salem, NC
- NPI 1619322161
-
- Audiologist
- Clayton, NC
- NPI 1255322954
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.