Healthcare Provider Details

I. General information

NPI: 1386877587
Provider Name (Legal Business Name): RHETT K HEPPLER AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9080 W CHEYENNE AVE STE 110
LAS VEGAS NV
89129-8936
US

IV. Provider business mailing address

10728 NEW BORO AVE
LAS VEGAS NV
89144-4405
US

V. Phone/Fax

Practice location:
  • Phone: 702-853-7986
  • Fax: 702-675-3886
Mailing address:
  • Phone: 702-853-7986
  • Fax: 702-675-3886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-216
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number296
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: