Active NPI
Advanced Audiology & Hearing AIDS, Inc.
- Audiologist-Hearing Aid Fitter
- North Myrtle Beach, SC
National Provider Identifier
1700938545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 3045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0405 | Medicaid | SC | |
| 05127 | Other | SC | BLUE CROSS BLUE SHIELD |
| 87726 | Other | SC | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hearing Instrument Specialist
- North Myrtle Beach, SC
- NPI 1689206328
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.