Organization Active NPI

Arizona Balance and Hearing Associates,LLC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1902195779
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DA747 Issued in AZ
Legal business name
ARIZONA BALANCE AND HEARING ASSOCIATES,LLC
Practice address
333 W Thomas Rd
Ste 207
Phoenix, AZ 85013-4417
Phone
(602) 568-9000
Fax
(602) 528-1901
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dana L Day, AUD, CCC-A
Title
Managing Partner
Phone
(602) 265-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X DA747 AZ Primary

Addresses

Primary practice location

333 W Thomas Rd
Ste 207
Phoenix, AZ 85013-4417

Mailing address

333 W Thomas Rd
Ste 207
Phoenix, AZ 85013-4417
Phone (602) 568-9000

Other identifiers 1

IdentifierTypeStateIssuer
14843MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000354 AZ Part B Supplier - Clinic/Group Practice 0244222032 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, 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

Locations

4004 N 7th St
Phoenix, AZ 85014
Phone (601) 265-9000

333 W Thomas Rd
Ste 207
Phoenix, AZ 85013
Phone (602) 265-9000

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1902195779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "address_2": "STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-568-9000",
            "fax_number": "602-528-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "address_2": "STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-568-9000",
            "fax_number": "602-528-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BALANCE AND HEARING ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-265-9000",
        "authorized_official_credential": "AUD, CCC-A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "DA747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.