Individual provider Active NPI

Ryan Lee Neider

  • Hearing Instrument Specialist
  • Twin Falls, ID
National Provider Identifier
1285069161
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HT - 2350 Issued in ID
Practice address
1543 Pole Line Rd E
Twin Falls, ID 83301-3590
Phone
(208) 733-3340
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 HT - 2350 ID Primary

Addresses

Primary practice location

1543 Pole Line Rd E
Twin Falls, ID 83301-3590

Mailing address

1543 Pole Line Rd E
Twin Falls, ID 83301-3590
Phone (208) 733-3340

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
HT - 2350IDMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1285069161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 POLE LINE RD E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013590",
            "telephone_number": "208-733-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 POLE LINE RD E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013590",
            "telephone_number": "208-733-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDER",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HT - 2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.