Individual provider Active NPI

Daniel Paul Bode, AU.D.

  • Audiologist
  • Metairie, LA
National Provider Identifier
1902884836
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
785 Issued in LA
Practice address
433 Metairie Rd
Suite 101
Metairie, LA 70005-4324
Phone
(504) 833-4327
Fax
(504) 833-4768
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 785 LA
Audiologist 231H00000X 785 LA Primary

Addresses

Primary practice location

433 Metairie Rd
Suite 101
Metairie, LA 70005-4324

Mailing address

433 Metairie Rd
Suite 101
Metairie, LA 70005-4324
Phone (504) 833-4327

Other practice location 1

1115 S Tyler St
Covington, LA 70433-2327
Phone (985) 249-5225

Other identifiers 1

IdentifierTypeStateIssuer
1971430MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001345 LA Practitioner - Qualified Audiologist 3870789894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Hearing, Inc.Group PAC ID 0345436366, 2 clinicians

Practice addresses (Care Compare)

433 Metairie Rd
Suite 101
Metairie, LA 70005-4324
Phone (504) 833-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
785LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Hearing, Inc. Audiologist-Hearing Aid Fitter CurrentSince Aug 4, 2010 Accepting new patients

Locations

1115 S Tyler St
Covington, LA 70433
Phone (985) 249-5225

433 Metairie Rd
Ste 101
Metairie, LA 70005
Phone (504) 833-4327

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1902884836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 METAIRIE RD",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054324",
            "telephone_number": "504-833-4327",
            "fax_number": "504-833-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 METAIRIE RD",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054324",
            "telephone_number": "504-833-4327",
            "fax_number": "504-833-4768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332327",
            "country_code": "US",
            "telephone_number": "985-249-5225",
            "fax_number": "985-249-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODE",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "785",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1971430",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.