NPIMap

Organization Active NPI

Coleman and Fallon Inc

Doing business as Park Place Hearing Center

  • Hearing Instrument Specialist
  • Petaluma, CA
National Provider Identifier
1538547765
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
7468 Issued in CA
Legal business name
COLEMAN AND FALLON INC
Doing business as
Park Place Hearing Center
Practice address
696 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone
(707) 763-3161
Fax
(707) 763-9829
NPI assigned
May 7, 2015
Last updated
Dec 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Mr. Dennis TobinNPI 1518247923
Title
Owner/Hearing Aid Specalist
Phone
(510) 724-1095

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005897 PA
Audiologist 231H00000X AU2679 CA
Hearing Instrument Specialist 237700000X 7468 CA Primary

Addresses

Primary practice location

696 Petaluma Blvd N
Petaluma, CA 94952-2847

Mailing address

696 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone (707) 763-3161

Other names 1

  • Park Place Hearing Center Doing business as

National Provider Directory

National Provider Directory

Locations

47 Maria Dr
Ste 812
Petaluma, CA 94954
Phone (707) 763-3161

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1538547765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN AND FALLON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/HEARING AID SPECALIST",
        "authorized_official_telephone_number": "510-724-1095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005897",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2679",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.