Provider Demographics
NPI:1407182124
Name:HEPPLER AUDIOLOGY PLLC
Entity Type:Organization
Organization Name:HEPPLER AUDIOLOGY PLLC
Other - Org Name:ADVANCED AUDIOLOGY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HEPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:702-853-7986
Mailing Address - Street 1:PO BOX 336080
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89033-6080
Mailing Address - Country:US
Mailing Address - Phone:702-853-7986
Mailing Address - Fax:702-880-1511
Practice Address - Street 1:9080 W CHEYENNE AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8932
Practice Address - Country:US
Practice Address - Phone:702-853-7986
Practice Address - Fax:702-880-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCX756AMedicare PIN