Individual provider Active NPI

Donald Roy Van de Riet, HEARING INSTRUMENT S

  • Hearing Instrument Specialist
  • Great Falls, MT
National Provider Identifier
1235274457
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
179 Issued in MT
Practice address
725 1St Ave N
Great Falls, MT 59401-2632
Phone
(406) 727-7269
Fax
(406) 452-5145
NPI assigned
Feb 21, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 179 MT Primary

Addresses

Primary practice location

725 1St Ave N
Great Falls, MT 59401-2632

Mailing address

725 1St Ave N
Great Falls, MT 59401-2632
Phone (406) 727-7269

Other identifiers 1

IdentifierTypeStateIssuer
0566774MedicaidMT

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
179MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235274457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012632",
            "telephone_number": "406-727-7269",
            "fax_number": "406-452-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012632",
            "telephone_number": "406-727-7269",
            "fax_number": "406-452-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE RIET",
        "first_name": "DONALD",
        "middle_name": "ROY",
        "credential": "HEARING INSTRUMENT S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MT",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566774",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.