NPIMap

Organization Active NPI

Adam Dipuccio L.L.C.

  • Audiologist
  • Mesa, AZ
National Provider Identifier
1881708261
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA2043 Issued in AZ
Legal business name
ADAM DIPUCCIO L.L.C.
Practice address
5202 E. Main Street
Suite #105
Mesa, AZ 85205-8038
Phone
(480) 218-1328
Fax
(480) 218-1330
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Mr. Adam Dipuccio, C.C.C.-A.F.A.A.A.NPI 1396791141
Title
Owner
Phone
(480) 218-1328

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X DA2043 AZ Primary

Addresses

Primary practice location

5202 E. Main Street
Suite #105
Mesa, AZ 85205-8038

Mailing address

5202 E. Main Street
Suite #105
Mesa, AZ 85205-8038
Phone (480) 218-1328

Other identifiers 2

IdentifierTypeStateIssuer
1881708261OtherAZGROUP NPI
894164MedicaidAZ

Other names 1

  • Advanced Hearing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001359 AZ Part B Supplier - Clinic/Group Practice 7719953546 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Scottsdale, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Adam Dipuccio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7025 E McDowell Rd
Ste 1C
Scottsdale, AZ 85257
Phone (480) 429-0026

9445 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-1005

9445 E Ironwood Square Dr
Ste 100
Scottsdale, AZ 85258
Phone (480) 429-0026

8144 E Cactus Rd
Ste 810
Scottsdale, AZ 85260
Phone (480) 218-1328

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1881708261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 E. MAIN STREET",
            "address_2": "SUITE #105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058038",
            "telephone_number": "480-218-1328",
            "fax_number": "480-218-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 E. MAIN STREET",
            "address_2": "SUITE #105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058038",
            "telephone_number": "480-218-1328",
            "fax_number": "480-218-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM DIPUCCIO L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "DIPUCCIO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-218-1328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.C.C.-A.F.A.A.A."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1881708261",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.

Verify at the official NPI Registry.