NPIMap

Organization Active NPI

Coleman and Fallon Inc

Doing business as Park Place Hearing Center

  • Hearing Instrument Specialist
  • Petaluma, CA
National Provider Identifier
1881029395
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
7468 Issued in CA
Legal business name
COLEMAN AND FALLON INC
Doing business as
Park Place Hearing Center
Practice address
696 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone
(707) 763-3161
Fax
(707) 763-9829
NPI assigned
Sep 4, 2013
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Mr. Dennis Michael TobinNPI 1518247923
Title
Owner/Hearing Aid Specialist
Phone
(707) 763-3161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Hearing Aid Equipment 332S00000X NU
Hearing Instrument Specialist 237700000X 7468 CA Primary

Addresses

Primary practice location

696 Petaluma Blvd N
Petaluma, CA 94952-2847

Mailing address

696 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone (707) 763-3161

Other practice location 1

4340 Redwood Hwy Ste A-12
San Rafael, CA 94903-2121
Phone (415) 499-7766

Other names 1

  • Park Place Hearing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1881029395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 PETALUMA BLVD N",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "707-763-3161",
            "fax_number": "707-763-9829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 Redwood Hwy Ste A-12",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032121",
            "country_code": "US",
            "telephone_number": "415-499-7766",
            "fax_number": "415-785-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLEMAN AND FALLON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/HEARING AID SPECIALIST",
        "authorized_official_telephone_number": "707-763-3161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.