Active NPI
Carol A Chinn, AUD
- Audiologist-Hearing Aid Fitter
- Bentonville, AR
National Provider Identifier
1528060761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A-170
- Practice address
- 1501 SE Walton Blvd
Ste 119
Bentonville, AR 72712-3746 - Phone
- (479) 254-0011
- Fax
- (479) 254-0710
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
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
Ste 119
Bentonville, AR 72712-3746
Mailing address
1501 SE Walton Blvd
Ste 119
Bentonville, AR 72712-3746
Phone (479) 254-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-170 | AR | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Vista Hearing Center PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Bella Vista, AR
- NPI 1659405132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1528060761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SE WALTON BLVD",
"address_2": "STE 119",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123746",
"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": "STE 119",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123746",
"telephone_number": "479-254-0011",
"fax_number": "479-254-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AR",
"license": "A-170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.