Active NPI
Timothy Andrew Jones, M.A., CCC-A
- Assistive Technology Supplier Audiologist
- Farmington, NM
National Provider Identifier
1730237322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 754
- Practice address
- 2355 E 30TH St
Farmington, NM 87401-8900 - Phone
- (505) 325-7474
- Fax
- (505) 326-4817
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | 754 | NM | Primary |
Addresses
Primary practice location
2355 E 30TH St
Farmington, NM 87401-8900
Mailing address
2355 E 30TH St
Farmington, NM 87401-8900
Phone (505) 325-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97253 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montezuma Hearing Clinic, Inc. | Current | Accepting new patients |
Locations
2355 E 30th St
Farmington, NM 87401
Phone (505) 325-7474
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Farmington, NM
- NPI 1598948192
-
- Audiologist
- Cortez, CO
- NPI 1356525232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730237322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 E 30TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018900",
"telephone_number": "505-325-7474",
"fax_number": "505-326-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 E 30TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018900",
"telephone_number": "505-325-7474",
"fax_number": "505-326-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TIMOTHY",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NM",
"license": "754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97253",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.