Organization Active NPI

Wall's Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Bakersfield, CA
National Provider Identifier
1558490391
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 805 Issued in CA
Legal business name
WALL'S HEARING AID CENTER, INC.
Practice address
4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427
Phone
(661) 323-1612
Fax
(661) 325-4969
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Mr. Kenneth Vernon Wall
Title
President
Phone
(661) 323-1612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X HA 2137 CA
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X HA 805 CA Primary

Addresses

Primary practice location

4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427

Mailing address

4800 Easton Dr
Suite #108
Bakersfield, CA 93309-9427
Phone (661) 323-1612

Other identifiers 2

IdentifierTypeStateIssuer
HA0008050MedicaidCA
HA0021370MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1558490391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 EASTON DR",
            "address_2": "SUITE #108",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099427",
            "telephone_number": "661-323-1612",
            "fax_number": "661-325-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 EASTON DR",
            "address_2": "SUITE #108",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099427",
            "telephone_number": "661-323-1612",
            "fax_number": "661-325-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL'S HEARING AID CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-323-1612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 2137",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0008050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0021370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.