NPI |
1174823868 |
The telephone number associated with the location address of the provider being identified. |
Entity Type Code |
2 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Employer Identification Number EIN |
|
The date that a record was last updated or changed. |
Provider Organization Name Legal Business Name |
NORTHLAND HEARING CENTERS INC |
The code designating the provider’s gender if the provider is a person. |
Provider Other Organization Name |
SEARS HEARING AID CENTERS |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider Other Organization Name Type Code |
3 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider First Line Business Practice Location Address |
2901 S CAPITAL OF TEXAS HWY |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Provider Business Practice Location Address City Name |
AUSTIN |
|
Provider Business Practice Location Address State Name |
TX |
|
Provider Business Practice Location Address Postal Code |
787468101 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Provider Business Practice Location Address Telephone Number |
5123069577 |
|
Provider Enumeration Date |
10/27/2010 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
10/27/2010 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
NELSON |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Authorized Official First Name |
SCOTT |
The first name of the authorized official. |
Authorized Official Title or Position |
VP FINANCE |
The title or position of the authorized official. |
Authorized Official Telephone Number |
9528289120 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
231H00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
N |
|
Healthcare Provider Taxonomy Code 2 |
237600000X |
|
Healthcare Provider Primary Taxonomy Switch 2 |
N |
|
Healthcare Provider Taxonomy Code 3 |
237700000X |
|
Healthcare Provider Primary Taxonomy Switch 3 |
Y |
|
Is Organization Subpart |
Y |
|
Parent Organization LBN |
NORTHLAND HEARING CENTERS INC. |
|
Parent Organization TIN |
|
|
Healthcare Provider Taxonomy Group 1 |
193400000X MULTIPLE SINGLE SPECIALTY GROUP |
|
Healthcare Provider Taxonomy Group 2 |
193400000X MULTIPLE SINGLE SPECIALTY GROUP |
|
Healthcare Provider Taxonomy Group 3 |
193400000X MULTIPLE SINGLE SPECIALTY GROUP |
|