Dixie Hearing & Balance Center

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5935522-4101 Issued in NU

Legal business name

DIXIE HEARING & BALANCE CENTER

Doing business as

Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center

Practice address

1054 East Riverside Dr
Suite 201
St George, UT 84790-4825

Phone

(435) 688-8991

Fax

(435) 688-2122

NPI assigned

Nov 26, 2007

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard L Luekenga Jr., AU.D.NPI 1609818905

Title

Owner-President

Phone

(435) 688-8991

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT, NV2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Dixie Hearing and Balance Center Inc.

  • Audiologist
  • Mesquite, NV
  • NPI 1114112992

  O20070926000585

  Same enrollment

Locations

Practitioners 4

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.

• Richard Layne Luekenga Jr., AU.D.

  • Audiologist
  • St George, UT
  • NPI 1609818905

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Ryan K Anderson, AU.D.

  • Audiologist
  • Richfield, UT
  • NPI 1487489654
  Medicare reassignment Care Compare group NPD
• Barrett Victor St George, AUD, PHD

  • Audiologist
  • St George, UT
  • NPI 1669191557
  Medicare reassignment Care Compare group NPD
• Ryan Michael Whitaker, AU.D

  • Audiologist
  • St George, UT
  • NPI 1437461456

  NV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1902087547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 EAST RIVERSIDE DR",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904825",
            "telephone_number": "435-688-8991",
            "fax_number": "435-688-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 EAST RIVERSIDE DR",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904825",
            "telephone_number": "435-688-8991",
            "fax_number": "435-688-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE HEARING & BALANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "435-688-8991",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "59355224101",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": "5935522-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6362",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dixie Dental
• Dixie Dermatology a Professional Corporation
• Dixie Dialysis Center (University of Utah)
• Dixie Eye Care PC
• Dixie Eye Surgi-Center Inc
• Dixie Home Rehab LLC
• Dixie Hospice Care, LLC
• Dixie Oral, Maxillofacial & Implant Surgery
• Dixie Palliative Care, LLC
• Dixie Pediatric Dental

• Audiologist in St George, UT
• Providers in St George, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.