Organization Active NPI

Larsen Hearing and Acoustics

Doing business as Lifestyle Hearing of Utah

  • Audiologist
  • Taylorsville, UT
National Provider Identifier
1710583935
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
LARSEN HEARING AND ACOUSTICS
Doing business as
Lifestyle Hearing of Utah
Practice address
2964 W 4700 S Ste 116
Taylorsville, UT 84129-2559
Phone
(801) 417-9696
Fax
(801) 417-9697
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Jeffery B Larsen, PHD, CCC-ANPI 1033441308
Title
Owner/Audiologist
Phone
(801) 417-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2964 W 4700 S Ste 116
Taylorsville, UT 84129-2559

Mailing address

2964 W 4700 S Ste 116
Taylorsville, UT 84129-2559
Phone (801) 417-9696

Other names 1

  • Lifestyle Hearing of Utah Doing business as

National Provider Directory

National Provider Directory

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1710583935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 W 4700 S STE 116",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292559",
            "telephone_number": "801-417-9696",
            "fax_number": "801-417-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 W 4700 S STE 116",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292559",
            "telephone_number": "801-417-9696",
            "fax_number": "801-417-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN HEARING AND ACOUSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "801-417-9696",
        "authorized_official_credential": "PHD, CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Hearing of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.