Individual provider Active NPI

Mary Dallin Hunting, CCC-A

  • Audiologist
  • Dover, NH
National Provider Identifier
1932264686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A482 Issued in NH
Practice address
113 New Rochester Rd
Suite 2
Dover, NH 03820-8800
Phone
(603) 742-6555
Fax
(603) 742-2908
NPI assigned
Dec 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A482 NH Primary

Addresses

Primary practice location

113 New Rochester Rd
Suite 2
Dover, NH 03820-8800

Mailing address

113 New Rochester Rd
Suite 2
Dover, NH 03820-8800
Phone (603) 742-6555

Other identifiers 3

IdentifierTypeStateIssuer
30432497MedicaidNH
1010206000OtherNHDEPARTMENT OF LABOR
AA40159OtherNVHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000801 NH Practitioner - Qualified Audiologist 9537355938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Audiology LLCGroup PAC ID 3971910829, 4 clinicians

Practice addresses (Care Compare)

51 Webb PL
Suite 110
Dover, NH 03820-2454
Phone (603) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Audiology LLC Audiologist CurrentSince Jan 21, 2021 Accepting new patients

Locations

51 Webb Pl
Ste 110
Dover, NH 03820
Phone (603) 742-6555

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": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932264686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER RD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208800",
            "telephone_number": "603-742-6555",
            "fax_number": "603-742-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER RD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208800",
            "telephone_number": "603-742-6555",
            "fax_number": "603-742-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTING",
        "first_name": "MARY",
        "middle_name": "DALLIN",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30432497",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "1010206000",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA40159",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.