Organization Active NPI

Digital Hearing Lab Corp

  • Hearing Instrument Specialist
  • Kissimmee, FL
National Provider Identifier
1669992012
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
DIGITAL HEARING LAB CORP
Practice address
22 Broadway Unit 109
Kissimmee, FL 34741-5408
Phone
(352) 988-0274
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Gabriel E Rodriguez, HEARING SPECIALISTNPI 1801130059
Title
Hearing Instrument Specialist
Phone
(352) 988-0274

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)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

22 Broadway Unit 109
Kissimmee, FL 34741-5408

Mailing address

2738 Eagle Lake Dr
Clermont, FL 34711-6269
Phone (352) 988-0274

Other identifiers 1

IdentifierTypeStateIssuer
016243300MedicaidFL

National Provider Directory

National Provider Directory

Locations

22 Broadway
Ste 109
Kissimmee, FL 34741
Phone (352) 988-0274

Practitioners & affiliated clinicians

Practitioners 1

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1669992012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 EAGLE LAKE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116269",
            "telephone_number": "352-988-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BROADWAY UNIT 109",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415408",
            "telephone_number": "352-988-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL HEARING LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "352-988-0274",
        "authorized_official_credential": "HEARING SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016243300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.