Organization Active NPI

Ormond Hearing Center LLC

  • Audiologist
  • Ormond Beach, FL
National Provider Identifier
1548989288
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ORMOND HEARING CENTER LLC
Practice address
115 E Granada Blvd Ste 12
Ormond Beach, FL 32176-6634
Phone
(386) 492-2923
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Dr. Indira Alvarez, AU.DNPI 1770759755
Title
Owner
Phone
(386) 283-4932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

115 E Granada Blvd Ste 12
Ormond Beach, FL 32176-6634

Mailing address

115 E Granada Blvd Ste 12
Ormond Beach, FL 32176-6634
Phone (386) 492-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230307000215 FL Part B Supplier - Clinic/Group Practice 9739552159 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

115 E Granada Blvd
Ste 12
Ormond Beach, FL 32176
Phone (386) 492-2923

115 E Granada Blvd
Ste 7
Ormond Beach, FL 32176
Phone (386) 255-1646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1548989288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E GRANADA BLVD STE 12",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766634",
            "telephone_number": "386-492-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E GRANADA BLVD STE 12",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766634",
            "telephone_number": "386-492-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-283-4932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.