Active NPI
Affinity Hearing, LLC
- Audiologist
- Plymouth, MN
National Provider Identifier
1528293180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5417
- Legal business name
- AFFINITY HEARING, LLC
- Practice address
- 3025 Harbor LN N
Suite 105
Plymouth, MN 55447-5119 - Phone
- (763) 744-1190
- NPI assigned
- May 26, 2009
- Last updated
- May 26, 2009
- 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
- Steven J. Chargo, M.A., AUDIOLOGIST
- Title
- President
- Phone
- (763) 744-1190
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5417 | MN | Primary |
Addresses
Primary practice location
3025 Harbor LN N
Suite 105
Plymouth, MN 55447-5119
Mailing address
3025 Harbor LN N
Suite 105
Plymouth, MN 55447-5119
Phone (763) 744-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077708100 | Medicaid | MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- Brooklyn Park, MN
- NPI 1497941553
-
- Audiologist
- Plymouth, MN
- NPI 1285670547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243296000000",
"number": "1528293180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HARBOR LN N",
"address_2": "SUITE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475119",
"telephone_number": "763-744-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HARBOR LN N",
"address_2": "SUITE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475119",
"telephone_number": "763-744-1190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HEARING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A",
"authorized_official_last_name": "CHARGO",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-744-1190",
"authorized_official_credential": "M.A., AUDIOLOGIST"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "5417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077708100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
- Advanced Counseling, LLC
- Advocate Healthcare Services
- Advocate House Assisted Living Services LLC
- Affiliated Eye Care LLC (Steven B. Robin MD)
- Affiliated Foot and Ankle
- Affinity Medical Services Inc
- Alejandro Martin Aguirre, D.D.S.,M.S.
- Reanna Aguirre, DPT
- Jade Nicole Ahlstrand, MS, NCC, PILT, LPCC
- Shahreen Ahmed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.