Organization Active NPI

CQ Audiology LLC

Doing business as The Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Farmington, NM
National Provider Identifier
1972144327
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
CQ AUDIOLOGY LLC
Doing business as
The Hearing Center
Practice address
2300 E 30TH St BLDG D-102
Farmington, NM 87401-8991
Phone
(505) 205-3980
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Charmin Quintana, AUDNPI 1013122894
Title
Owner
Phone
(505) 205-3980

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
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

2300 E 30TH St BLDG D-102
Farmington, NM 87401-8991

Mailing address

2300 E 30TH St BLDG D-102
Farmington, NM 87401-8991
Phone (505) 205-3980

Other names 1

  • The Hearing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113000121 NM Part B Supplier - Clinic/Group Practice 8921433491 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

2300 E 30th St
Bldg C102
Farmington, NM 87401

2300 E 30th St
Bldg D-102
Farmington, NM 87401
Phone (505) 327-4429

Practitioners & affiliated clinicians

Practitioners 2

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1972144327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-205-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-205-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CQ AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "CHARMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-205-3980",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.