Active NPI
Family Hearing Care, LLC
- Audiologist
- West Bend, WI
National Provider Identifier
1811937428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6-156
- Legal business name
- FAMILY HEARING CARE, LLC
- Practice address
- 1305 Chestnut Street
West Bend, WI 53095 - Phone
- (262) 338-3553
- Fax
- (262) 338-3836
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim R Becker, AU.D.
- Title
- Owner/President
- Phone
- (262) 338-3553
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Audiologist | 231H00000X | 6-156 | WI | Primary |
Addresses
Primary practice location
1305 Chestnut Street
West Bend, WI 53095
Mailing address
1305 Chestnut Street
West Bend, WI 53095
Phone (262) 338-3553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41173700 | Medicaid | WI | |
| 41112700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1305 Chestnut St
Ste 4
West Bend, WI 53095
1305 Chestnut St
West Bend, WI 53095
Phone (262) 335-4202
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1518111491
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- NPI 1780740308
-
- Audiologist
- Brookfield, WI
- NPI 1003027210
-
- Audiologist
- West Allis, WI
- NPI 1518709070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1811937428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CHESTNUT STREET",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53095",
"telephone_number": "262-338-3553",
"fax_number": "262-338-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CHESTNUT STREET",
"city": "WEST BEND",
"state": "WI",
"postal_code": "53095",
"telephone_number": "262-338-3553",
"fax_number": "262-338-3836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEARING CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "TIM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-338-3553",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "WI",
"license": "6-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41173700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41112700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.