Active NPI
Jeffrey Lee Longtain
- Hearing Instrument Specialist
- Bend, OR
National Provider Identifier
1922818368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 10250739
- Practice address
- 255 SW Bluff Dr Ste 210
Bend, OR 97702-3220 - Phone
- (541) 382-3308
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 10250739 | OR | Primary |
Addresses
Primary practice location
255 SW Bluff Dr Ste 210
Bend, OR 97702-3220
Mailing address
520 Kouns Dr NW
Albany, OR 97321-9308
Phone (503) 799-2852
Other practice location 1
106 SW 7th St
Redmond, OR 97756-2110
Phone (541) 548-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10250739 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandia Hearing Santa Fe, LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| Jeff & Lisa Enterprises, LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba House of Hearing Orem
- Audiologist-Hearing Aid Fitter
- Orem, UT
- NPI 1740834225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1922818368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 KOUNS DR NW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973219308",
"telephone_number": "503-799-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SW BLUFF DR STE 210",
"city": "BEND",
"state": "OR",
"postal_code": "977023220",
"telephone_number": "541-382-3308"
}
],
"practiceLocations": [
{
"address_1": "106 SW 7th St",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977562110",
"country_code": "US",
"telephone_number": "541-548-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGTAIN",
"first_name": "JEFFREY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "10250739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.