Sikeston Hearing Aid Center

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA001089 Issued in MO

Legal business name

SIKESTON HEARING AID CENTER

Practice address

606 Harry Dr
Dexter, MO 63841-2813

Phone

(573) 891-2098

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Lynn Peters, BC-HIS

Title

Owner

Phone

(573) 891-2098

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1811430069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HARRY DR",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412813",
            "telephone_number": "573-891-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HARRY DR",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412813",
            "telephone_number": "573-891-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKESTON HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-891-2098",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "HA001089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333575702",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MO HEARING AID SPECIALIST",
            "identifier": "HA001089",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Dexter, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.