Robert G Ivey

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2917 Issued in NM

Practice address

1130 Commerce Dr
Las Cruces, NM 88011-8209

Phone

(575) 521-3025

Fax

(575) 521-3565

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rio Grande Hearing Center

  • Audiologist
  • Las Cruces, NM
  • NPI 1336311059
  NPD (past) Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1801844394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COMMERCE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118209",
            "telephone_number": "575-521-3025",
            "fax_number": "575-521-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COMMERCE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118209",
            "telephone_number": "575-521-3025",
            "fax_number": "575-521-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "ROBERT",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "2917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9684",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Audiologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.