Organization Active NPI

Audiology Specialty Clinics of Minnesota

  • Audiologist-Hearing Aid Fitter
  • Edina, MN
National Provider Identifier
1649945569
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
AUDIOLOGY SPECIALTY CLINICS OF MINNESOTA
Practice address
7380 France Ave S Ste 200
Edina, MN 55435-4506
Phone
(952) 224-0308
Fax
(952) 831-4942
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Jason Leyendecker, AUD
Title
Owner/Audiologist
Phone
(952) 224-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

7380 France Ave S Ste 200
Edina, MN 55435-4506

Mailing address

7380 France Ave S Ste 215
Edina, MN 55435-4535
Phone (952) 224-0308

Other practice location 1

14050 Nicollet Ave Ste 200
Burnsville, MN 55337-5738
Phone (952) 224-0308

Other names 1

  • Tinnitus & Hyperacusis Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@tinnitusclinicminnesota.com Direct

National Provider Directory

National Provider Directory

Locations

7380 France Ave S
Ste 215
Edina, MN 55435

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1649945569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S STE 215",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354535",
            "telephone_number": "952-224-0308",
            "fax_number": "952-831-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354506",
            "telephone_number": "952-224-0308",
            "fax_number": "952-831-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14050 Nicollet Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375738",
            "country_code": "US",
            "telephone_number": "952-224-0308",
            "fax_number": "952-303-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUDIOLOGY SPECIALTY CLINICS OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LEYENDECKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "952-224-0308",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tinnitusclinicminnesota.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6446 Xerxes Ave S",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554231039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tinnitus & Hyperacusis Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tinnitus & Hyperacusis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.