NPIMap

Organization Active NPI

On-Site Audiology TX, LLC

  • Audiologist
  • Noblesville, IN
National Provider Identifier
1790919496
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
17001256A Issued in IN
Legal business name
ON-SITE AUDIOLOGY TX, LLC
Practice address
16095 Prosperity Dr
Suite 300
Noblesville, IN 46060-4319
Phone
(317) 219-3456
Fax
(888) 400-2221
NPI assigned
May 8, 2009
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Terah Wagner
Title
Owner
Phone
(317) 443-0043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 17001256A IN Primary
Hearing Instrument Specialist 237700000X 17001256A IN

Addresses

Primary practice location

16095 Prosperity Dr
Suite 300
Noblesville, IN 46060-4319

Mailing address

16095 Prosperity Dr
Ste. 300
Noblesville, IN 46060-4319
Phone (371) 219-3456

National Provider Directory

National Provider Directory

Locations

16095 Prosperity Dr
Ste 300
Noblesville, IN 46060
Phone (317) 219-3456

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1790919496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16095 PROSPERITY DR",
            "address_2": "STE. 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604319",
            "telephone_number": "371-219-3456",
            "fax_number": "888-400-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16095 PROSPERITY DR",
            "address_2": "SUITE 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604319",
            "telephone_number": "317-219-3456",
            "fax_number": "888-400-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE AUDIOLOGY TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TERAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-443-0043"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "17001256A",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001256A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.