Individual provider Active NPI

Mark Weeks, MCD

  • Audiologist
  • Carson City, NV
National Provider Identifier
1891755807
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
04-01333 Issued in NV
Practice address
408 N Roop St
Carson City, NV 89701-4739
Phone
(775) 885-9888
Fax
(775) 885-7961
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 04-01333 NV Primary

Addresses

Primary practice location

408 N Roop St
Carson City, NV 89701-4739

Mailing address

408 N Roop St
Carson City, NV 89701-4739
Phone (775) 885-9888

Other identifiers 2

IdentifierTypeStateIssuer
002313002MedicaidNV
003413002MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000839 NV Practitioner - Qualified Audiologist 3072709765 Reassigns benefits to 1 organization
Practice locations: Carson City, NV

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

408 N Roop St
Carson City, NV 89701-4739
Phone (775) 885-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04-01333NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Care of Carson City, LTD Audiologist CurrentSince Jun 1, 2012 Accepting new patients

Locations

408 N Roop St
Carson City, NV 89701
Phone (702) 885-9888

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1891755807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N ROOP ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014739",
            "telephone_number": "775-885-9888",
            "fax_number": "775-885-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N ROOP ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014739",
            "telephone_number": "775-885-9888",
            "fax_number": "775-885-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "MARK",
        "credential": "MCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "04-01333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002313002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003413002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.