Individual provider Active NPI

Tel Skidmore Boman, M.S., AUD

  • Audiologist-Hearing Aid Fitter
  • South Ogden, UT
National Provider Identifier
1972531028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
106698-4101 Issued in UT
Practice address
978 Chambers St
Suite #1
South Ogden, UT 84403-4861
Phone
(801) 399-5601
Fax
(801) 394-2230
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 106698-4101 UT Primary

Addresses

Primary practice location

978 Chambers St
Suite #1
South Ogden, UT 84403-4861

Mailing address

978 Chambers St
Suite #1
South Ogden, UT 84403-4861
Phone (801) 399-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
106698-4101UTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Zone Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972531028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 CHAMBERS ST",
            "address_2": "SUITE #1",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034861",
            "telephone_number": "801-399-5601",
            "fax_number": "801-394-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 CHAMBERS ST",
            "address_2": "SUITE #1",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034861",
            "telephone_number": "801-399-5601",
            "fax_number": "801-394-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "TEL",
        "middle_name": "SKIDMORE",
        "name_prefix": "Mr.",
        "credential": "M.S., AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "106698-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.