Organization Active NPI

Family Audiology & Hearing Services, Inc

  • Audiologist-Hearing Aid Fitter
  • Payson, UT
National Provider Identifier
1730549775
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
107684-4101 Issued in UT
Legal business name
FAMILY AUDIOLOGY & HEARING SERVICES, INC
Practice address
39 Professional Way
Ste 1
Payson, UT 84651-1675
Phone
(801) 465-4805
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Robert C Sacco
Title
Owner/Audiologist
Phone
(801) 787-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 107684-4101 UT Primary

Addresses

Primary practice location

39 Professional Way
Ste 1
Payson, UT 84651-1675

Mailing address

125 W Apple Blossom Way
Salem, UT 84653-9506
Phone (801) 423-1511

Other identifiers 1

IdentifierTypeStateIssuer
528764883016MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1730549775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W APPLE BLOSSOM WAY",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846539506",
            "telephone_number": "801-423-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PROFESSIONAL WAY",
            "address_2": "STE 1",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511675",
            "telephone_number": "801-465-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AUDIOLOGY & HEARING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SACCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "801-787-8440"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "107684-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528764883016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.