Organization Active NPI

Miracle Ear Hearing Aid Center

  • Hearing Instrument Specialist
  • Sikeston, MO
National Provider Identifier
1700908415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA001246 Issued in MO
Legal business name
MIRACLE EAR HEARING AID CENTER
Practice address
605 S Main St
Sikeston, MO 63801-3041
Phone
(573) 471-0187
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Peters
Title
Owner
Phone
(573) 471-0187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HA001246 MO Primary

Addresses

Primary practice location

605 S Main St
Sikeston, MO 63801-3041

Mailing address

605 S Main St
Sikeston, MO 63801-3041
Phone (573) 471-0187

National Provider Directory

National Provider Directory

Locations

605 S Main St
Sikeston, MO 63801
Phone (573) 471-0187

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700908415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013041",
            "telephone_number": "573-471-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013041",
            "telephone_number": "573-471-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EAR HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-471-0187"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "HA001246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.