Justin Dawdy, HCP, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1072 Issued in IA

Practice address

1723 Highway Blvd Ste 2
Spencer, IA 51301-2208

Phone

(712) 264-0402

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2015.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1174909931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY BLVD STE 2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012208",
            "telephone_number": "712-264-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY BLVD STE 2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012208",
            "telephone_number": "712-264-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWDY",
        "first_name": "JUSTIN",
        "credential": "HCP, HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alexander Cunningham Jr., ATC/L
• Jessica E Curran, O.D.
• Amy R Davis
• Benjamin Robert Davis, ATC
• Jared Davis, CADC
• Mark Alan De Ruyter, LMSW
• Philip Augustus Deffer Jr., M.D.
• James Alan Delperdang, MD
• Jennifer Den Boer
• Bobbi Jo Devaul, LMSW

• All providers in Spencer, IA
• Hearing Instrument Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.