Organization Active NPI

The Delaware Speech and Hearing Center

  • Audiologist
  • Delaware, OH
National Provider Identifier
1598808206
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
THE DELAWARE SPEECH AND HEARING CENTER
Practice address
494 W Central Ave
Delaware, OH 43015-1470
Phone
(740) 369-3650
Fax
(740) 369-0812
NPI assigned
Feb 14, 2007
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Bethany Moore
Title
Executive Director
Phone
(740) 369-3650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

494 W Central Ave
Delaware, OH 43015-1470

Mailing address

494 W Central Ave
Delaware, OH 43015-1470
Phone (740) 369-3650

Other practice location 1

3940 N Hampton Dr
Powell, OH 43065-8442
Phone (614) 789-4473

Other identifiers 1

IdentifierTypeStateIssuer
0328739MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000001 OH Part B Supplier - Clinic/Group Practice 9133152606 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Powell, OH; Delaware, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Delaware Speech Hearin2 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.

Locations

494 W Central Ave
Delaware, OH 43015
Phone (740) 369-3650

494 W Central Ave
Ste 1
Delaware, OH 43015
Phone (740) 369-3650

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1598808206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151470",
            "telephone_number": "740-369-3650",
            "fax_number": "740-369-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151470",
            "telephone_number": "740-369-3650",
            "fax_number": "740-369-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 N Hampton Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430658442",
            "country_code": "US",
            "telephone_number": "614-789-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DELAWARE SPEECH AND HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-369-3650"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.