NPIMap

Organization Active NPI

Farmington Hearing and Balance LLC

  • Otolaryngology Physician
  • Farmington, MO
National Provider Identifier
1568820116
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FARMINGTON HEARING AND BALANCE LLC
Practice address
501 W Pine St
Farmington, MO 63640-1439
Phone
(573) 756-8888
Fax
(866) 291-5617
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Justin W Roberts, D.O.
Title
President
Phone
(573) 756-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

501 W Pine St
Farmington, MO 63640-1439

Mailing address

501 W Pine St
Farmington, MO 63640-1439
Phone (573) 756-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1568820116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-756-8888",
            "fax_number": "866-291-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-756-8888",
            "fax_number": "866-291-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON HEARING AND BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-756-8888",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.