Organization Active NPI

Sierra Hearing Center LLC

  • Audiologist-Hearing Aid Fitter
  • Sierra Vista, AZ
National Provider Identifier
1700828258
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA-193, HAD1694 Issued in AZ
Legal business name
SIERRA HEARING CENTER LLC
Practice address
1989 Frontage Rd
Sierra Vista, AZ 85635-4698
Phone
(520) 458-3383
Fax
(520) 458-9623
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mr. Michael Olan Webb, M.S.,CCC-A
Title
Managing Member
Phone
(520) 458-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X DA-193, HAD1694 AZ Primary

Addresses

Primary practice location

1989 Frontage Rd
Sierra Vista, AZ 85635-4698

Mailing address

1989 Frontage Rd
Sierra Vista, AZ 85635-4698
Phone (520) 458-3383

Other identifiers 1

IdentifierTypeStateIssuer
419748MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1989 Frontage Rd
Ste D
Sierra Vista, AZ 85635
Phone (520) 458-3383

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1700828258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 FRONTAGE RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354698",
            "telephone_number": "520-458-3383",
            "fax_number": "520-458-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 FRONTAGE RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354698",
            "telephone_number": "520-458-3383",
            "fax_number": "520-458-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OLAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-458-3383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA-193, HAD1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.