NPIMap

Organization Active NPI

Mallory Ventsam Enterprises, LLC

Doing business as All About Hearing Aids Gulf Coast

  • Hearing Aid Equipment
  • St Petersburg, FL
National Provider Identifier
1750722278
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
MALLORY VENTSAM ENTERPRISES, LLC
Doing business as
All About Hearing Aids Gulf Coast
Practice address
511 66TH St N
St Petersburg, FL 33710-6939
Phone
(727) 498-8544
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Mallory VentsamNPI 1932540416
Title
President
Phone
(727) 797-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

511 66TH St N
St Petersburg, FL 33710-6939

Mailing address

12627 Portmarnock Dr
Odessa, FL 33556-5416

Other names 1

  • All About Hearing Aids Gulf Coast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All About Hearing AIDS Gulf Coast4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 66th St N
St Petersburg, FL 33710
Phone (727) 498-8544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1750722278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 PORTMARNOCK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106939",
            "telephone_number": "727-498-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY VENTSAM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "VENTSAM",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-797-6500"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Hearing Aids Gulf Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.