Organization Active NPI

Fantl Hearing, LLC

  • Hearing Instrument Specialist
  • Beachwood, OH
National Provider Identifier
1912215765
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
02975 Issued in OH
Legal business name
FANTL HEARING, LLC
Practice address
2642 Edgewood Rd.
Beachwood, OH 44122
Phone
(216) 896-0710
Fax
(216) 896-0711
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Mr. Harold I Fantl, HEARING AID SPECIALI
Title
Sole Member
Phone
(216) 896-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 02975 OH Primary

Addresses

Primary practice location

2642 Edgewood Rd.
Beachwood, OH 44122

Mailing address

2642 Edgewood Dr.
Beachwood, OH 44122
Phone (216) 896-0710

National Provider Directory

National Provider Directory
Tax ID family
Fantl Hearing 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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1912215765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 EDGEWOOD DR.",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-896-0710",
            "fax_number": "216-896-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 EDGEWOOD RD.",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-896-0710",
            "fax_number": "216-896-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTL HEARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "FANTL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "216-896-0711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HEARING AID SPECIALI"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "02975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.