Individual provider Active NPI

Brandon Moore, BCHIS

  • Hearing Instrument Specialist
  • Chickasha, OK
National Provider Identifier
1568095008
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1032 Issued in OK
Practice address
2201 W Iowa Ave Ste 5
Chickasha, OK 73018-2732
Phone
(405) 222-4444
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1032 OK Primary

Addresses

Primary practice location

2201 W Iowa Ave Ste 5
Chickasha, OK 73018-2732

Mailing address

21106 County Road 1400
Anadarko, OK 73005-2091
Phone (405) 933-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1032OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortega Operations, LLC Hearing Instrument Specialist CurrentSince May 26, 2024 Accepting new patients
Chickasha Hearing Aid Center Hearing Instrument Specialist PastSince Feb 16, 2020 Accepting new patients

Locations

2201 W Iowa Ave
Ste 5
Chickasha, OK 73018
Phone (405) 222-4444

4404 NW Cache Rd
Ste 4
Lawton, OK 73505
Phone (580) 357-0400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1568095008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21106 COUNTY ROAD 1400",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730052091",
            "telephone_number": "405-933-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W IOWA AVE STE 5",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182732",
            "telephone_number": "405-222-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRANDON",
        "credential": "BCHIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.