Tidewater Hearing Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

14763800005200 Issued in VA

Legal business name

TIDEWATER HEARING CENTER

Doing business as

Miracle Ear

Practice address

4588 Virginia Beach Blvd
Virginia Beach, VA 23462-3004

Phone

(757) 687-6643

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Ivens

Title

Owner

Phone

(757) 687-6643

Specialties & licenses 1

Addresses

Other names 1

• Miracle Ear Doing business as

Tax ID family

Miracle Ear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tidewater Hearing Center

  • Durable Medical Equipment & Medical Supplies
  • Newport News, VA
  • NPI 1093110223
  NPD tax ID

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1578968715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COVE POINT PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543271",
            "telephone_number": "757-687-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623004",
            "telephone_number": "757-687-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "IVENS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-687-6643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "14763800005200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tidewater Anesthesia Inc
• Tidewater Behavioral Services, LLC
• Tidewater Dental Studio PLLC
• Tidewater Family Practice, P.C.
• Tidewater Foot & Ankle Center, PC
• Tidewater Home Health Care
• Tidewater Homespec, LLC
• Tidewater Integrated Medical Services, PLLC
• Tidewater Integrative Health PC
• Tidewater Kidney Specialists, Inc.

• Durable Medical Equipment & Medical Supplies in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.