Organization Active NPI

West Metro Audiological Specialists Inc

  • Audiologist
  • Excelsior, MN
National Provider Identifier
1598894040
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5114 Issued in MN
Legal business name
WEST METRO AUDIOLOGICAL SPECIALISTS INC
Practice address
5641 Zumbra Drive
Suite 111
Excelsior, MN 55331
Phone
(952) 474-2305
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Claudia Dembski Hawley, M A CCC A
Title
Audiologist/Owner
Phone
(952) 474-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 5114 MN Primary

Addresses

Primary practice location

5641 Zumbra Drive
Suite 111
Excelsior, MN 55331

Mailing address

5641 Zumbra Drive
Suite 111
Excelsior, MN 55331
Phone (952) 474-2305

Other identifiers 1

IdentifierTypeStateIssuer
894553500MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000443 MN Part B Supplier - Clinic/Group Practice 9931285152 Practice locations: Excelsior, MN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1598894040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 ZUMBRA DRIVE",
            "address_2": "SUITE 111",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-474-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 ZUMBRA DRIVE",
            "address_2": "SUITE 111",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-474-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST METRO AUDIOLOGICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "DEMBSKI",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "952-474-2305",
        "authorized_official_credential": "M A CCC A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894553500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.