Glory Hearing Care, PLLC

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

GLORY HEARING CARE, PLLC

Practice address

43001 W 9 Mile Rd.
Suite 109 PMB 2041
Novi, MI 48375

Phone

(313) 333-0534

NPI assigned

Dec 15, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominique Marielle Smith, HIS

Title

Ceo

Phone

(313) 333-0534

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• n/a Other name

Locations

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1225740806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43001 W 9 MILE RD.",
            "address_2": "SUITE 109 PMB 2041",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "313-333-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43001 W 9 MILE RD.",
            "address_2": "SUITE 109 PMB 2041",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "313-333-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEARING CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "MARIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-333-0534",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15013663",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hearing Instrument Specialist in Novi, MI
• Providers in Novi, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.