Hearing & Balance Specialists LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

8481 Issued in MN

Legal business name

HEARING & BALANCE SPECIALISTS LLC

Practice address

6813 Morgan Ave S
Richfield, MN 55423-2113

Phone

(612) 293-7816

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Joseph Sullivan, AU.D.

Title

Owner

Phone

(612) 293-7816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1629398664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 MORGAN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232113",
            "telephone_number": "612-293-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 MORGAN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232113",
            "telephone_number": "612-293-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING & BALANCE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-293-7816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.