Active NPI
Douglas Ray Williams
- Hearing Instrument Specialist
- Coeur d'Alene, ID
National Provider Identifier
1124271721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- H-228
- Practice address
- 503 W Appleway Ave Ste P
Coeur D Alene, ID 83814-8303 - Phone
- (208) 667-6290
- Fax
- (208) 765-5913
- NPI assigned
- Oct 28, 2008
- Last updated
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | H-228 | ID | Primary |
Addresses
Primary practice location
503 W Appleway Ave Ste P
Coeur D Alene, ID 83814-8303
Mailing address
503 W Appleway Ave Ste P
Coeur D Alene, ID 83814-9369
Phone (208) 667-6290
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 |
|---|---|---|---|
| H-228 | ID | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Hearing Center of Idaho, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Instrument Specialist
- Coeur d'Alene, ID
- NPI 1881136844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1124271721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W APPLEWAY AVE STE P",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838149369",
"telephone_number": "208-667-6290",
"fax_number": "208-765-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W APPLEWAY AVE STE P",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838148303",
"telephone_number": "208-667-6290",
"fax_number": "208-765-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DOUGLAS",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "ID",
"license": "H-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.