Individual provider Active NPI

Zachary Smith

  • Hearing Instrument Specialist
  • Granite City, IL
National Provider Identifier
1255295226
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3619 Issued in IL
Practice address
3142 Nameoki Rd
Granite City, IL 62040-5013
Phone
(618) 451-1900
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 3619 IL Primary

Addresses

Primary practice location

3142 Nameoki Rd
Granite City, IL 62040-5013

Mailing address

615 N Main St
O Fallon, IL 62269-3704
Phone (618) 624-4471

Other practice location 1

722 W County Rd Ste D
Jerseyville, IL 62052-2598
Phone (618) 451-1900

Other practice location 2

150 Health Care Dr # B
Greenville, IL 62246-1161
Phone (618) 451-1900

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
3619ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Inc Hearing Instrument Specialist CurrentSince Dec 14, 2025 Accepting new patients
Brad McMillin Inc PastSince Dec 14, 2025 Accepting new patients

Locations

615 N Main St
O Fallon, IL 62269

Organizations & group practices 2

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1255295226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693704",
            "telephone_number": "618-624-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 NAMEOKI RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405013",
            "telephone_number": "618-451-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 W County Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522598",
            "country_code": "US",
            "telephone_number": "618-451-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Health Care Dr # B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461161",
            "country_code": "US",
            "telephone_number": "618-451-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.