Individual provider Active NPI

Guy L Doty Jr., LICENSED

  • Hearing Instrument Specialist
  • Petal, MS
National Provider Identifier
1225464332
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
MS0242 Issued in MS
Practice address
849 Highway 11
Petal, MS 39465-2037
Phone
(601) 545-2323
Fax
(601) 545-3232
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X MS0242 MS Primary

Addresses

Primary practice location

849 Highway 11
Petal, MS 39465-2037

Mailing address

849 Highway 11
Petal, MS 39465-2037
Phone (601) 545-2323

Other identifiers 1

IdentifierTypeStateIssuer
MS0242OtherMSLICENSED HEARING INSTRUMENT SPECIALIST

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

LicenseStateTypeSpecialty
MS0242MSMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1225464332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 11",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652037",
            "telephone_number": "601-545-2323",
            "fax_number": "601-545-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 11",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652037",
            "telephone_number": "601-545-2323",
            "fax_number": "601-545-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "GUY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LICENSED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MS",
            "license": "MS0242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED HEARING INSTRUMENT SPECIALIST",
            "identifier": "MS0242",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petal, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.