NPIMap

Organization Active NPI

Northland Hearing Centers, Inc.

  • Hearing Instrument Specialist
  • Waterloo, IA
National Provider Identifier
1962498816
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
67 Issued in IA
Legal business name
NORTHLAND HEARING CENTERS, INC.
Practice address
2055 Kimball Ave
Ste. 300
Waterloo, IA 50702-5047
Phone
(319) 272-2500
Fax
(319) 272-2503
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Jeffrey Longtain
Title
President
Phone
(503) 659-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 67 IA Primary

Addresses

Primary practice location

2055 Kimball Ave
Ste. 300
Waterloo, IA 50702-5047

Mailing address

8800 SE Sunnyside Rd.
Ste. 300-N
Clackamas, OR 97015-5703
Phone (503) 659-5115

Other identifiers 1

IdentifierTypeStateIssuer
0209924MedicaidIA

Other names 1

  • Iowa Hearing Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northland Hearing Cntrs Inc922 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2055 Kimball Ave
Ste 300
Waterloo, IA 50702
Phone (319) 272-2500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1962498816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD.",
            "address_2": "STE. 300-N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "503-659-5115",
            "fax_number": "503-659-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE",
            "address_2": "STE. 300",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2500",
            "fax_number": "319-272-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "LONGTAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-659-5115"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "67",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209924",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.