Individual provider Active NPI

Troy Anthony Magsam

  • Audiologist-Hearing Aid Fitter
  • East Grand Forks, MN
National Provider Identifier
1346081288
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
H-0556 Issued in ND
Practice address
22 4TH St NE
East Grand Forks, MN 56721-2001
Phone
(701) 746-8421
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X H-0556 ND Primary

Addresses

Primary practice location

22 4TH St NE
East Grand Forks, MN 56721-2001

Mailing address

22 4TH St NE
East Grand Forks, MN 56721-2001
Phone (701) 746-8421

Other practice location 1

421 3rd St NE
Devils Lake, ND 58301-3013
Phone (701) 662-7347

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
H-0556NDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel R. Vandeventer, Inc. CurrentSince Jun 9, 2024 Accepting new patients

Locations

22 4th St NE
East Grand Forks, MN 56721
Phone (218) 773-0842

421 3rd St NE
Devils Lake, ND 58301
Phone (701) 662-7347

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1346081288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 4TH ST NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567212001",
            "telephone_number": "701-746-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 4TH ST NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567212001",
            "telephone_number": "701-746-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 3rd St NE",
            "address_purpose": "LOCATION",
            "city": "Devils Lake",
            "state": "ND",
            "postal_code": "583013013",
            "country_code": "US",
            "telephone_number": "701-662-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGSAM",
        "first_name": "TROY",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ND",
            "license": "H-0556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.