Active NPI
Audiology & Hearing Aid Services
- Audiologist-Hearing Aid Fitter
- Portland, ME
National Provider Identifier
1710146014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AP25
- Legal business name
- AUDIOLOGY & HEARING AID SERVICES
- Practice address
- 985 Forest Ave
Portland, ME 04103-3303 - Phone
- (207) 797-8738
- Fax
- (207) 797-8650
- NPI assigned
- Jun 3, 2008
- 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
- Dr. James Roger Fagan, AU.D.
- Title
- Owner
- Phone
- (207) 797-8738
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AP25 | ME | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AP1825 | ME | |
| Hearing Instrument Specialist | 237700000X | DL20000383 | ME |
Addresses
Primary practice location
985 Forest Ave
Portland, ME 04103-3303
Mailing address
985 Forest Ave
Portland, ME 04103-3303
Phone (207) 797-8738
National Provider Directory
National Provider DirectoryLocations
985 Forest Ave
Portland, ME 04103
Phone (207) 797-2351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1710146014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033303",
"telephone_number": "207-797-8738",
"fax_number": "207-797-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033303",
"telephone_number": "207-797-8738",
"fax_number": "207-797-8650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY & HEARING AID SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "FAGAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-797-8738",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "ME",
"license": "AP25",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "ME",
"license": "AP1825",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "ME",
"license": "DL20000383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.