Individual provider Active NPI

Taran McLeod Crocker, NBC-HIS

  • Audiologist-Hearing Aid Fitter
  • Oregon City, OR
National Provider Identifier
1699355024
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
HAS-P-10173715 Issued in OR
Practice address
514 7TH St
Oregon City, OR 97045-2235
Phone
(503) 239-8918
Fax
(503) 239-0669
NPI assigned
Apr 9, 2021
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HAS-P-10173715 OR Primary

Addresses

Primary practice location

514 7TH St
Oregon City, OR 97045-2235

Mailing address

2532 Benjamin Ave NW
Salem, OR 97304-2545
Phone (408) 564-3006

Other identifiers 1

IdentifierTypeStateIssuer
HAS-P-10173715OtherOROREGON HEARING AID SPECIALIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taran@ablehac.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAS-P-10173715ORMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
D&a Financial Services, LLC CurrentSince Nov 22, 2023 Accepting new patients
Ag, Inc. PastSince Apr 11, 2021 Accepting new patients

Locations

514 7th St
Oregon City, OR 97045
Phone (503) 239-8918

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1699355024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 BENJAMIN AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042545",
            "telephone_number": "408-564-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452235",
            "telephone_number": "503-239-8918",
            "fax_number": "503-239-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "TARAN",
        "middle_name": "MCLEOD",
        "credential": "NBC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "HAS-P-10173715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEARING AID SPECIALIST LICENSE",
            "identifier": "HAS-P-10173715",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taran@ablehac.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "514 7th St",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970452235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.