Organization Active NPI

Acadian Hearing and Balance Center, LLC

  • Specialist
  • West Monroe, LA
National Provider Identifier
1760554166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3564 Issued in LA
Legal business name
ACADIAN HEARING AND BALANCE CENTER, LLC
Practice address
107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311
Phone
(318) 410-9095
Fax
(318) 410-9561
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deborah Dunkeson Cowan, AU.DNPI 1609945823
Title
Audiologist
Phone
(318) 410-9095

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3564 LA Primary

Addresses

Primary practice location

107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311

Mailing address

107 Contempo Ave
Ste 3
West Monroe, LA 71291-5311
Phone (318) 410-9095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061128000013 LA Part B Supplier - Clinic/Group Practice 1254339393 Receives reassigned benefits from 1 practitioner
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Locations

107 Contempo Ave
Ste 3
West Monroe, LA 71291
Phone (318) 410-9095

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760554166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE",
            "address_2": "STE 3",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915311",
            "telephone_number": "318-410-9095",
            "fax_number": "318-410-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE",
            "address_2": "STE 3",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915311",
            "telephone_number": "318-410-9095",
            "fax_number": "318-410-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN HEARING AND BALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DUNKESON",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "318-410-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.