Organization Active NPI

Audio Aid RX of Midland, LLC

  • Audiologist-Hearing Aid Fitter
  • Midland, MI
National Provider Identifier
1720375397
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000067 Issued in MI
Legal business name
AUDIO AID RX OF MIDLAND, LLC
Practice address
1504 Harcrest Dr Ste 3
Midland, MI 48640-4717
Phone
(989) 835-1219
Fax
(989) 835-7198
NPI assigned
Jul 5, 2011
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Debra Wall, AU.D.NPI 1750485371
Title
Owner
Phone
(989) 835-1219

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
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 1601000067 MI Primary

Addresses

Primary practice location

1504 Harcrest Dr Ste 3
Midland, MI 48640-4717

Mailing address

1504 Harcrest Dr Ste 3
Midland, MI 48640-4717
Phone (989) 835-1219

National Provider Directory

National Provider Directory

Locations

6855 N Eastman Ave Ste 26
Midland, MI 48642
Phone (989) 835-1219

6855 N Eastman Ave Ste 26
Midland, MI 48642
Phone (989) 835-1219

Practitioners & affiliated clinicians

Practitioners 1

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": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1720375397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR STE 3",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404717",
            "telephone_number": "989-835-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR STE 3",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404717",
            "telephone_number": "989-835-1219",
            "fax_number": "989-835-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIO AID RX OF MIDLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-835-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.