Organization Active NPI

Audiology & Hearing Aid Services

  • Audiologist-Hearing Aid Fitter
  • Portland, ME
National Provider Identifier
1710146014
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AP25 Issued in ME
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

Updated by the provider on Jun 3, 2008

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)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X AP25 ME Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X AP1825 ME
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.