Active NPI
Matt Kenneth Houston, HIS
- Hearing Instrument Specialist
- Clarksville, TN
National Provider Identifier
1043993553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- TN969
- Practice address
- 1769 Madison St Ste A102
Clarksville, TN 37043-6194 - Phone
- (931) 919-5005
- NPI assigned
- Aug 10, 2023
- 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 | TN969 | TN | Primary |
Addresses
Primary practice location
1769 Madison St Ste A102
Clarksville, TN 37043-6194
Mailing address
1769 Madison St Ste A102
Clarksville, TN 37043-6194
Phone (931) 919-5005
Other practice location 1
1055 Mineral Wells Ave Ste 17
Paris, TN 38242-4962
Phone (731) 203-1670
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 |
|---|---|---|---|
| TN969 | TN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1043993553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 MADISON ST STE A102",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436194",
"telephone_number": "931-919-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1769 MADISON ST STE A102",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436194",
"telephone_number": "931-919-5005"
}
],
"practiceLocations": [
{
"address_1": "1055 Mineral Wells Ave Ste 17",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TN",
"postal_code": "382424962",
"country_code": "US",
"telephone_number": "731-203-1670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSTON",
"first_name": "MATT",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TN",
"license": "TN969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.