Active NPI
Family Audiology & Hearing Services, Inc
- Audiologist-Hearing Aid Fitter
- Payson, UT
National Provider Identifier
1730549775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 107684-4101
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528764883016 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI 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.