Active NPI
ENT Hearing Services LC
- Otolaryngology Physician
- Sioux City, IA
National Provider Identifier
1720280761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34004
- Legal business name
- ENT HEARING SERVICES LC
- Practice address
- 2730 Pierce St
Suite 402
Sioux City, IA 51104-3796 - Phone
- (605) 217-4320
- Fax
- (605) 217-4320
- NPI assigned
- Jun 1, 2007
- 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
- Mrs. Kelly Anne Jerdee
- Title
- Office Manager
- Phone
- (605) 217-4320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34004 | IA | Primary |
Addresses
Primary practice location
2730 Pierce St
Suite 402
Sioux City, IA 51104-3796
Mailing address
2730 Pierce St
Suite 402
Sioux City, IA 51104-3796
Phone (605) 217-4320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Dakota Dunes, SD
- NPI 1386694354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1720280761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 PIERCE ST",
"address_2": "SUITE 402",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043796",
"telephone_number": "605-217-4320",
"fax_number": "605-217-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 PIERCE ST",
"address_2": "SUITE 402",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043796",
"telephone_number": "605-217-4320",
"fax_number": "605-217-4320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENT HEARING SERVICES LC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "JERDEE",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "605-217-4320",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IA",
"license": "34004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.