Individual provider Active NPI

Dwight R Valdez, MA

  • Audiologist
  • Concord, NH
National Provider Identifier
1821290503
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A465 Issued in NH
Practice address
Concord Otolaryngology
194 Pleasant St, Suite 2
Concord, NH 03301
Phone
(603) 224-2353
Fax
(603) 226-0727
NPI assigned
Jun 4, 2007
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A465 NH Primary

Addresses

Primary practice location

Concord Otolaryngology
194 Pleasant St, Suite 2
Concord, NH 03301

Mailing address

Concord Otolaryngology
194 Pleasant St, Suite 2
Concord, NH 03301
Phone (603) 224-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001155 NH Practitioner - Qualified Audiologist 8022100049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

194 Pleasant St
Suite 1
Concord, NH 03301-2952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A465NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Center Audiologist CurrentSince Apr 1, 2021 Accepting new patients
Alliance Hearing AIDS, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

194 Pleasant St
Ste 1
Concord, NH 03301
Phone (603) 225-9396

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1821290503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONCORD OTOLARYNGOLOGY",
            "address_2": "194 PLEASANT ST, SUITE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-2353",
            "fax_number": "603-226-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONCORD OTOLARYNGOLOGY",
            "address_2": "194 PLEASANT ST, SUITE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-2353",
            "fax_number": "603-226-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "DWIGHT",
        "middle_name": "R",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.