Organization Active NPI

White Mountain Hearing Services, LLC

  • Audiologist-Hearing Aid Fitter
  • Lakeside, AZ
National Provider Identifier
1932374030
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA898 Issued in AZ
Legal business name
WHITE MOUNTAIN HEARING SERVICES, LLC
Practice address
5658 Highway 260 Ste 4
Lakeside, AZ 85929-5189
Phone
(928) 537-7373
Fax
(928) 537-7377
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Bobette Martin, M.A., CCC-A
Title
Audiologist/Owner
Phone
(928) 537-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X DA898 AZ Primary

Addresses

Primary practice location

5658 Highway 260 Ste 4
Lakeside, AZ 85929-5189

Mailing address

PO Box 826
Lakeside, AZ 85929-0826
Phone (928) 537-7373

National Provider Directory

National Provider Directory

Locations

5658 Highway 260
Ste 4
Lakeside, AZ 85929
Phone (520) 368-8052

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1932374030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859290826",
            "telephone_number": "928-537-7373",
            "fax_number": "928-537-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 260 STE 4",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-537-7373",
            "fax_number": "928-537-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN HEARING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BOBETTE",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "928-537-7373",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.