Organization Active NPI

Ontario Audiology & Hearing AIDS, LLC

  • Audiologist
  • Ontario, OR
National Provider Identifier
1972634798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ONTARIO AUDIOLOGY & HEARING AIDS, LLC
Practice address
1159 SW 4TH Ave
Ontario, OR 97914-2129
Phone
(541) 881-0970
Fax
(541) 881-0971
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jody D. Alexander
Title
Co-Owner Manager
Phone
(541) 881-0970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

1159 SW 4TH Ave
Ontario, OR 97914-2129

Mailing address

1159 SW 4TH Ave
Ontario, OR 97914-2129
Phone (541) 881-0970

Other identifiers 1

IdentifierTypeStateIssuer
209580MedicaidOR

National Provider Directory

National Provider Directory

Locations

1159 SW 4th Ave
Ontario, OR 97914
Phone (541) 881-0970

Practitioners & affiliated clinicians

Practitioners 1

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972634798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142129",
            "telephone_number": "541-881-0970",
            "fax_number": "541-881-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142129",
            "telephone_number": "541-881-0970",
            "fax_number": "541-881-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO AUDIOLOGY & HEARING AIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CO-OWNER MANAGER",
        "authorized_official_telephone_number": "541-881-0970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209580",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.