NPIMap

Organization Active NPI

NW Diagnostic Audiology LLC

  • Audiologist
  • Enid, OK
National Provider Identifier
1760542310
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
219 Issued in OK
Legal business name
NW DIAGNOSTIC AUDIOLOGY LLC
Practice address
3201 N Van Buren
Suite 200
Enid, OK 73703
Phone
(580) 233-4129
Fax
(580) 233-4130
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Cindy L Roberts, MSCCCANPI 1063693695
Title
Owner
Phone
(580) 233-4129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 219 OK Primary

Addresses

Primary practice location

3201 N Van Buren
Suite 200
Enid, OK 73703

Mailing address

3201 N Van Buren
Suite 200
Enid, OK 73703
Phone (580) 233-4129

Other identifiers 1

IdentifierTypeStateIssuer
1006682200MedicaidOK

National Provider Directory

National Provider Directory

Locations

3201 N Van Buren St
Ste 200
Enid, OK 73703
Phone (580) 233-4129

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760542310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN",
            "address_2": "SUITE 200",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-233-4129",
            "fax_number": "580-233-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN",
            "address_2": "SUITE 200",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-233-4129",
            "fax_number": "580-233-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW DIAGNOSTIC AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-4129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCCA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "OK",
            "license": "219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006682200",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.