Organization Active NPI

Mobile Hearing of Missouri LLC

Doing business as Special Care Hearing

  • Audiologist
  • De Soto, MO
National Provider Identifier
1518342245
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MOBILE HEARING OF MISSOURI LLC
Doing business as
Special Care Hearing
Practice address
7475 Tom Sparks Rd
De Soto, MO 63020-5759
Phone
(855) 259-9183
Fax
(502) 244-2439
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Cynthia Modrosic, AUD
Title
Owner
Phone
(855) 259-9183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

7475 Tom Sparks Rd
De Soto, MO 63020-5759

Mailing address

12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone (502) 244-2443

Other names 1

  • Special Care Hearing Doing business as

National Provider Directory

National Provider Directory

Locations

12910 Shelbyville Rd
Ste 3
Louisville, KY 40243

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1518342245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "502-244-2443",
            "fax_number": "502-244-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 TOM SPARKS RD",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630205759",
            "telephone_number": "855-259-9183",
            "fax_number": "502-244-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEARING OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MODROSIC",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-259-9183",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Care Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Soto, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.