NPIMap

Organization Active NPI

Earcare of Derby, Inc.

  • Hearing Aid Equipment
  • Derby, KS
National Provider Identifier
1740350891
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
CE569 Issued in KS
Legal business name
EARCARE OF DERBY, INC.
Practice address
1747 Osage Rd Ste F
Derby, KS 67037-2091
Phone
(316) 789-9200
Fax
(316) 789-9212
NPI assigned
Nov 8, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Tim Brecheisen
Title
Owner
Phone
(316) 789-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X CE569 KS Primary

Addresses

Primary practice location

1747 Osage Rd Ste F
Derby, KS 67037-2091

Mailing address

1747 Osage Rd Ste F
Derby, KS 67037-2091
Phone (316) 789-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1740350891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 OSAGE RD STE F",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372091",
            "telephone_number": "316-789-9200",
            "fax_number": "316-789-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 OSAGE RD STE F",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372091",
            "telephone_number": "316-789-9200",
            "fax_number": "316-789-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARCARE OF DERBY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "BRECHEISEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-789-9200"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "KS",
            "license": "CE569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.