Organization Active NPI

Custom Hearing Solutions LLC

  • Hearing Instrument Specialist
  • Omaha, NE
National Provider Identifier
1811235062
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
978 Issued in NE
Legal business name
CUSTOM HEARING SOLUTIONS LLC
Practice address
11923 Pacific St # Ne68154
Omaha, NE 68154-3468
Phone
(402) 689-1023
Fax
(866) 826-9730
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. Terry Lee Oreskovich, HIS, BS
Title
Owner
Phone
(402) 689-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 978 NE Primary

Addresses

Primary practice location

11923 Pacific St # Ne68154
Omaha, NE 68154-3468

Mailing address

11923 Pacific St # Ne68154
Omaha, NE 68154-3468
Phone (402) 689-1023

Other identifiers 1

IdentifierTypeStateIssuer
10026089200MedicaidNE

National Provider Directory

National Provider Directory

Locations

11923 Pacific St
Omaha, NE 68154
Phone (402) 689-1023

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1811235062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11923 PACIFIC ST # NE68154",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543468",
            "telephone_number": "402-689-1023",
            "fax_number": "866-826-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11923 PACIFIC ST # NE68154",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543468",
            "telephone_number": "402-689-1023",
            "fax_number": "866-826-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEARING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "ORESKOVICH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-689-1023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS, BS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NE",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026089200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.