Active NPI
Paul Groesbeck, AU.D.
- Audiologist
- Las Vegas, NV
National Provider Identifier
1992259725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-1984
- Practice address
- 3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236 - Phone
- (702) 233-4327
- Fax
- (702) 233-8837
- NPI assigned
- Aug 10, 2016
- Last updated
- Dec 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-1984 | NV | Primary |
Addresses
Primary practice location
3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236
Mailing address
3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236
Phone (702) 233-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Utah School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1742 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-4915
Phone (702) 896-0031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Hearing & Balance Center LLC | Audiologist | Current | Accepting new patients |
Locations
1742 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 896-0031
Organizations & group practices 1
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.
-
- Audiologist
- Henderson, NV
- NPI 1184953986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1992259725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 S RAINBOW BLVD",
"address_2": "STE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466236",
"telephone_number": "702-233-4327",
"fax_number": "702-233-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 S RAINBOW BLVD",
"address_2": "STE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466236",
"telephone_number": "702-233-4327",
"fax_number": "702-233-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROESBECK",
"first_name": "PAUL",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.