Organization Active NPI

Mortensen Audiology Clinics LLC

  • Audiologist-Hearing Aid Fitter
  • West Allis, WI
National Provider Identifier
1700838406
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MORTENSEN AUDIOLOGY CLINICS LLC
Practice address
2255 S 108TH St
West Allis, WI 53227-1107
Phone
(414) 774-4200
Fax
(414) 774-6828
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. John A Mortensen, AU.D
Title
Owner/Audiologist
Phone
(414) 774-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

2255 S 108TH St
West Allis, WI 53227-1107

Mailing address

5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (888) 510-0766

Other names 1

  • SONUS SF 0001 Doing business as

National Provider Directory

National Provider Directory

Locations

W186N9523 Bancroft Dr
Menomonee Fls, WI 53051
Phone (262) 502-3570

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1700838406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "888-510-0766",
            "fax_number": "763-268-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271107",
            "telephone_number": "414-774-4200",
            "fax_number": "414-774-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSEN AUDIOLOGY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "414-774-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONUS SF 0001",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.