Active NPI
Community Audiology Services, LLC
- Audiologist
- Silver Spring, MD
National Provider Identifier
1669710422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00831
- Legal business name
- COMMUNITY AUDIOLOGY SERVICES, LLC
- Practice address
- 11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633 - Phone
- (301) 593-3200
- Fax
- (301) 593-3900
- NPI assigned
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia Randolph, PHD
- Title
- Owner
- Phone
- (301) 593-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00831 | MD | Primary |
Addresses
Primary practice location
11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Mailing address
11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Phone (301) 593-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
106 Irving St NW
Ofc
Washington, DC 20010
Phone (202) 877-6000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1669710422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE 504",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-593-3200",
"fax_number": "301-593-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE 504",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-593-3200",
"fax_number": "301-593-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AUDIOLOGY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "RANDOLPH",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-593-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MD",
"license": "00831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.