Individual provider Active NPI

Toni Marie Bacon, HIS

  • Hearing Instrument Specialist
  • Epsom, NH
National Provider Identifier
1578873303
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
H511 Issued in NH
Practice address
1990 Dover Rd
Unit 1D
Epsom, NH 03234-4146
Phone
(603) 736-0017
Fax
(603) 736-0034
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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 H511 NH Primary

Addresses

Primary practice location

1990 Dover Rd
Unit 1D
Epsom, NH 03234-4146

Mailing address

1990 Dover Rd
Unit 1D
Epsom, NH 03234-4146
Phone (603) 736-0017

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
H511NHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Puretone Hearing Center, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1578873303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 DOVER RD",
            "address_2": "UNIT 1D",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344146",
            "telephone_number": "603-736-0017",
            "fax_number": "603-736-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 DOVER RD",
            "address_2": "UNIT 1D",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344146",
            "telephone_number": "603-736-0017",
            "fax_number": "603-736-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NH",
            "license": "H511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Epsom, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.