Organization Active NPI

Advanced Audiology & Hearing AIDS, Inc.

  • Audiologist-Hearing Aid Fitter
  • North Myrtle Beach, SC
National Provider Identifier
1700938545
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3045 Issued in SC
Legal business name
ADVANCED AUDIOLOGY & HEARING AIDS, INC.
Practice address
640 6TH Ave S
North Myrtle Beach, SC 29582-3310
Phone
(843) 663-4327
Fax
(843) 663-3277
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Kimberly Rae King, AU.D.
Title
President
Phone
(843) 663-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 3045 SC Primary

Addresses

Primary practice location

640 6TH Ave S
North Myrtle Beach, SC 29582-3310

Mailing address

640 6TH Ave S
North Myrtle Beach, SC 29582-3310
Phone (843) 663-4327

Other identifiers 3

IdentifierTypeStateIssuer
SA0405MedicaidSC
05127OtherSCBLUE CROSS BLUE SHIELD
87726OtherSCUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

241 Singleton Ridge Rd
Unit C
Conway, SC 29526
Phone (843) 234-4327

640 6th Ave S
North Myrtle Beach, SC 29582
Phone (843) 663-4327

1951 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 663-4327

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1700938545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 6TH AVE S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823310",
            "telephone_number": "843-663-4327",
            "fax_number": "843-663-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 6TH AVE S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823310",
            "telephone_number": "843-663-4327",
            "fax_number": "843-663-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY & HEARING AIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-663-4327",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0405",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05127",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "87726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.