NPIMap

Organization Active NPI

Grace Hearing Instruments, Inc.

  • Audiologist
  • Council Bluffs, IA
National Provider Identifier
1720152986
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
231H00000X Issued in IA
Legal business name
GRACE HEARING INSTRUMENTS, INC.
Practice address
530 E Broadway
Council Bluffs, IA 51503-4413
Phone
(712) 322-8393
Fax
(712) 322-2660
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Michael David Grace, BC-HISNPI 1982892477
Title
President
Phone
(712) 322-8393

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 231H00000X IA Primary

Addresses

Primary practice location

530 E Broadway
Council Bluffs, IA 51503-4413

Mailing address

530 E Broadway
Council Bluffs, IA 51503-4413
Phone (712) 322-8393

Other identifiers 1

IdentifierTypeStateIssuer
0126078MedicaidIA

Other names 1

  • Audology Services & Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

530 E Broadway
Council Bluffs, IA 51503
Phone (712) 322-8393

Practitioners & affiliated clinicians

Practitioners 2

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1720152986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEARING INSTRUMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-322-8393",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IA",
            "license": "231H00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126078",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audology Services & Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.