Active NPI
Area Hearing Center, LLC
- Audiologist-Hearing Aid Fitter
- Henderson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 4578
- Legal business name
- AREA HEARING CENTER, LLC
- Practice address
- 857 S Beckford Dr
Suite H
Henderson, NC 27536-3486 - Phone
- (252) 430-7744
- Fax
- (252) 430-0917
- NPI assigned
- Apr 8, 2010
- Last updated
- Jun 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lara Royster Gray, AU.D.
- Title
- Audiologist/Member/Manager
- Phone
- (252) 430-7744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 4578 | NC | Primary |
Addresses
Primary practice location
857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Mailing address
857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Phone (252) 430-7744
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404255 | Medicaid | NC | |
| 7400006 | Medicaid | NC | |
| 7211020 | Medicaid | NC | |
| 11852 | Other | NC | BCBS |
| 7411476 | Medicaid | NC | |
| 7001565 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
450 Dabney Dr
Henderson, NC 27536
Phone (252) 430-7744
857 S Beckford Dr
Ste H
Henderson, NC 27536
Phone (252) 430-7744
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist-Hearing Aid Fitter
- Henderson, NC
- NPI 1669585915
-
- Other Technician
- Henderson, NC
- NPI 1316286115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1942526462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 S BECKFORD DR",
"address_2": "SUITE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275363486",
"telephone_number": "252-430-7744",
"fax_number": "252-430-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 S BECKFORD DR",
"address_2": "SUITE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275363486",
"telephone_number": "252-430-7744",
"fax_number": "252-430-0917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AREA HEARING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-08",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "LARA",
"authorized_official_middle_name": "ROYSTER",
"authorized_official_title_or_position": "AUDIOLOGIST/MEMBER/MANAGER",
"authorized_official_telephone_number": "252-430-7744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "4578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404255",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7400006",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211020",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11852",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7411476",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001565",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.