Healthcare Provider Details

I. General information

NPI: 1346604329
Provider Name (Legal Business Name): NORTHERN NEW MEXICO HEARING AND BALANCE INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 5TH ST SUITE 101
SANTA FE NM
87505-5403
US

IV. Provider business mailing address

1911 5TH ST SUITE 101
SANTA FE NM
87505-5403
US

V. Phone/Fax

Practice location:
  • Phone: 505-780-8301
  • Fax: 505-780-5418
Mailing address:
  • Phone: 505-780-8301
  • Fax: 505-780-5418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number5494
License Number StateNM

VIII. Authorized Official

Name: DR. JAMES MARSHALL O'DAY
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 505-780-8301