Active NPI
Sandia Medical Instruments
- Audiologist-Hearing Aid Fitter
- Albuquerque, NM
National Provider Identifier
1578620092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 330
- Legal business name
- SANDIA MEDICAL INSTRUMENTS
- Doing business as
- Sandia Hearing Aids
- Practice address
- 3301 Menaul Blvd NE
Suite 26
Albuquerque, NM 87107-1852 - Phone
- (505) 889-9100
- Fax
- (505) 888-0363
- NPI assigned
- Jan 3, 2007
- Organization subpart
- Yes
- Parent organization
- NORTHLAND HEARING CETNER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeff Longtain
- Title
- President
- Phone
- (503) 257-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 330 | NM | Primary |
Addresses
Primary practice location
3301 Menaul Blvd NE
Suite 26
Albuquerque, NM 87107-1852
Mailing address
10570 SE Washington St
Ste 210
Portland, OR 97216-2846
Phone (503) 257-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T9008 | Medicaid | NM |
Other names 1
- Sandia Hearing Aids
National Provider Directory
National Provider Directory- Part of
- Northland Hearing Cntrs Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Albuquerque, NM
- NPI 1730299058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1578620092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10570 SE WASHINGTON ST",
"address_2": "STE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162846",
"telephone_number": "503-257-6800",
"fax_number": "866-448-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 MENAUL BLVD NE",
"address_2": "SUITE 26",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071852",
"telephone_number": "505-889-9100",
"fax_number": "505-888-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDIA MEDICAL INSTRUMENTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHLAND HEARING CETNER, INC.",
"enumeration_date": "2007-01-03",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "LONGTAIN",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-257-6800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T9008",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandia Hearing Aids",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.