Organization Active NPI

Middle Tennessee Hearing Aid Center

  • Clinical Medical Laboratory
  • Columbia, TN
National Provider Identifier
1962602276
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
256 Issued in TN
Legal business name
MIDDLE TENNESSEE HEARING AID CENTER
Practice address
102 Blythewood Dr
Columbia, TN 38401-4828
Phone
(931) 388-3646
Fax
(931) 388-6184
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Daniel W. West, AUD., CCC-ANPI 1215991740
Title
Owner/Audiologist
Phone
(931) 388-3646

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 256 TN Primary

Addresses

Primary practice location

102 Blythewood Dr
Columbia, TN 38401-4828

Mailing address

102 Blythewood Dr
Columbia, TN 38401-4828
Phone (931) 388-3646

Other identifiers 1

IdentifierTypeStateIssuer
3010421OtherTNBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000305 TN Part B Supplier - Clinic/Group Practice 8426026675 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Locations

102 Blythewood Dr
Columbia, TN 38401
Phone (931) 388-3646

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1962602276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BLYTHEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-388-3646",
            "fax_number": "931-388-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BLYTHEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-388-3646",
            "fax_number": "931-388-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "931-388-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD., CCC-A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3010421",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.

Verify at the official NPI Registry.