Active NPI
Moss Hearing AIDS, Incorporated
Doing business as Moss Hearing Centers
- Audiologist-Hearing Aid Fitter
- Quincy, IL
National Provider Identifier
1699804757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 147000603
- 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, 2008
- 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. Robert J Moss, AU.D.
- Title
- Owner
- Phone
- (217) 223-0204
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528264447 | Other | IL | INDIVIDUAL NPI # |
| 00132059 | Other | IL | BLUE CROSS/BLUE SHIELD OF IL |
| 324426333002 | Medicaid | IL | |
| 147000603 | Other | IL | DEPT OF PROFESSIONAL REGU |
Other names 1
- Moss Hearing Centers
National Provider Directory
National Provider DirectoryLocations
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.