Roger Obermeier, HEARING SPECIALIST

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1129 Issued in MO

Practice address

110 S Smith St
Smithton, IL 62285-1724

Phone

(816) 877-4921

NPI assigned

Nov 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1306242342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. SMITH ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285",
            "telephone_number": "816-877-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S SMITH ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851724",
            "telephone_number": "816-877-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMEIER",
        "first_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "HEARING SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "1129",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NM",
            "license": "0827",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Edith Kunevich, DC
• Laboratory Corporation of America Holdings
• Kristen Nicole Massey, APN
• Amy Christine Morra, MS, CCC/SLP
• Msa Alliance, LLC
• Owen Dental, LLC.
• Jon Owen, D.M.D.
• Park Haven Nursing & Rehabilitation Center LLC (Integrity Healthcare of Smithton)
• PC Associates, LLC
• Jamie Rhiannan Petty, LMT

• Hearing Instrument Specialist in Smithton, IL
• Providers in Smithton, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.