Tinnitus Clinic LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

TINNITUS CLINIC LLC

Doing business as

The Tinnitus Clinic

Practice address

1290 E Broomfield St
Mount Pleasant, MI 48858-4449

Phone

(989) 773-7032

Fax

(989) 773-4267

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Lynn Smith

Title

Owner

Phone

(989) 773-7032

Specialties & licenses 1

Addresses

Other names 1

• The Tinnitus Clinic Doing business as

Locations

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1528476595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584449",
            "telephone_number": "989-773-7032",
            "fax_number": "989-773-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584449",
            "telephone_number": "989-773-7032",
            "fax_number": "989-773-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINNITUS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-7032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tinnitus Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.