Active NPI
Jason McClure
- Hearing Instrument Specialist
- Mesa, AZ
National Provider Identifier
1023651288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 4656
- Practice address
- 5540 E Broadway Rd.
Mesa, AZ 85206 - Phone
- (480) 830-4685
- NPI assigned
- Oct 21, 2019
- Last updated
- Oct 21, 2019
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 4656 | AZ | Primary |
Addresses
Primary practice location
5540 E Broadway Rd.
Mesa, AZ 85206
Mailing address
4445 E. Campbell CT.
Glibert, AZ 85234
Phone (480) 830-4685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4656 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1023651288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 E. CAMPBELL CT.",
"city": "GLIBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-830-4685",
"fax_number": "623-551-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 E BROADWAY RD.",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-830-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AZ",
"license": "4656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.