Active NPI
Sierra Hearing Center LLC
- Audiologist-Hearing Aid Fitter
- Sierra Vista, AZ
National Provider Identifier
1700828258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA-193, HAD1694
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419748 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Tucson, AZ
- NPI 1184988511
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.