Organization Active NPI

Moss Hearing AIDS, Incorporated

Doing business as Moss Hearing Centers

  • Audiologist-Hearing Aid Fitter
  • Quincy, IL
National Provider Identifier
1699804757
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147000603 Issued in IL
Legal business name
MOSS HEARING AIDS, INCORPORATED
Doing business as
Moss Hearing Centers
Practice address
114 N 6TH St
Quincy, IL 62301-2904
Phone
(217) 223-0204
Fax
(217) 223-0274
NPI assigned
Mar 5, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Robert J Moss, AU.D.
Title
Owner
Phone
(217) 223-0204

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 147000603 IL
Audiologist 231H00000X 147000603 IL
Audiologist-Hearing Aid Fitter 237600000X 147000603 IL Primary

Addresses

Primary practice location

114 N 6TH St
Quincy, IL 62301-2904

Mailing address

114 N 6TH St
Quincy, IL 62301-2904
Phone (217) 223-0204

Other identifiers 4

IdentifierTypeStateIssuer
1528264447OtherILINDIVIDUAL NPI #
00132059OtherILBLUE CROSS/BLUE SHIELD OF IL
324426333002MedicaidIL
147000603OtherILDEPT OF PROFESSIONAL REGU

Other names 1

  • Moss Hearing Centers Doing business as

National Provider Directory

National Provider Directory

Locations

114 N 6th St
Quincy, IL 62301
Phone (217) 223-0204

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1699804757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N 6TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012904",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N 6TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012904",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS HEARING AIDS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-223-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "147000603",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000603",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1528264447",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF IL",
            "identifier": "00132059",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324426333002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PROFESSIONAL REGU",
            "identifier": "147000603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Hearing Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.