Organization Active NPI

Becker Audiology SC

Doing business as Becker Audiology

  • Hearing and Speech Clinic/Center
  • Waukesha, WI
National Provider Identifier
1710915459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
6-156 Issued in WI
Legal business name
BECKER AUDIOLOGY SC
Doing business as
Becker Audiology
Practice address
20720 Watertown Rd
Suite #102
Waukesha, WI 53186-1823
Phone
(262) 717-9000
NPI assigned
Jun 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tim Richard Becker, AU.DNPI 1750312039
Title
Owner
Phone
(262) 717-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 6-156 WI Primary

Addresses

Primary practice location

20720 Watertown Rd
Suite #102
Waukesha, WI 53186-1823

Mailing address

20720 Watertown Rd
Suite #102
Waukesha, WI 53186-1823
Phone (262) 717-9000

Other names 1

  • Becker Audiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000253 WI Part B Supplier - Clinic/Group Practice 6002819653 Receives reassigned benefits from 3 practitioners
Practice locations: Waukesha, WI

National Provider Directory

National Provider Directory

Locations

20720 Watertown Rd
Ste 102
Waukesha, WI 53186
Phone (262) 717-9000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710915459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 WATERTOWN RD",
            "address_2": "SUITE #102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861823",
            "telephone_number": "262-717-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 WATERTOWN RD",
            "address_2": "SUITE #102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861823",
            "telephone_number": "262-717-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER AUDIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-717-9000",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WI",
            "license": "6-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.