Individual provider Active NPI

Timothy Andrew Jones, M.A., CCC-A

  • Assistive Technology Supplier Audiologist
  • Farmington, NM
National Provider Identifier
1730237322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
754 Issued in NM
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
97253MedicaidNM

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

OrganizationSpecialtyStatusNew patients
Montezuma Hearing Clinic, Inc. CurrentSince Aug 23, 2022 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.

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.

Verify at the official NPI Registry.