Organization Active NPI

San Juan Hearing Inc.

  • Audiologist-Hearing Aid Fitter
  • Farmington, NM
National Provider Identifier
1598948192
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
754 Issued in NM
Legal business name
SAN JUAN HEARING INC.
Practice address
2355 E 30TH St
Farmington, NM 87401-8900
Phone
(505) 325-7474
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Timothy Andrew Jones, M.A., CCC-ANPI 1730237322
Title
Audiologist
Phone
(505) 325-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 754 NM Primary

Addresses

Primary practice location

2355 E 30TH St
Farmington, NM 87401-8900

Mailing address

2355 E 30TH St
Farmington, NM 87401-8900
Phone (505) 325-7474

Other identifiers 1

IdentifierTypeStateIssuer
97253MedicaidNM

National Provider Directory

National Provider Directory

Locations

833 E 2nd Ave
Durango, CO 81301
Phone (970) 247-0808

2355 E 30th St
Farmington, NM 87401
Phone (505) 325-7474

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1598948192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018900",
            "telephone_number": "505-325-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018900",
            "telephone_number": "505-325-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN HEARING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "505-325-7474",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97253",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.