Earcare of Ponca City Outreach Inc

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

CE569 Issued in KS

Legal business name

EARCARE OF PONCA CITY OUTREACH INC

Practice address

2010 N 14TH St
Ponca City, OK 74601-1917

Phone

(580) 718-9991

NPI assigned

Jun 30, 2008

Organization subpart

No

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) 269-4327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1790947844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011917",
            "telephone_number": "580-718-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011917",
            "telephone_number": "580-718-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARCARE OF PONCA CITY OUTREACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BRECHEISEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-269-4327"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "KS",
            "license": "CE569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lucille Dugan, SLPA
• Jessica Lynn Duncan, REGISTERED NURSE
• Jamie Lee Dunster, RN
• Matthew Ryan Duplissey
• David Eagle Sr.
• Earcare of Ponca City, Inc.
• Amanda Irene Ebert
• Marcy Edwards
• Edwin Fair CMHC
• Edwin Fair CMHC

• Hearing Aid Equipment in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Hearing Aid Equipment in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.