Matthew A Presley, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2015012710 Issued in MO

Practice address

102 W Commercial St
Lebanon, MO 65536-3144

Phone

(417) 532-1188

Fax

(417) 532-1188

NPI assigned

Feb 24, 2021

Sex

Male

Sole proprietor

No

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.

• Alliance Hearing Inc

  • Hearing Instrument Specialist
  • O Fallon, IL
  • NPI 1144836800
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2021.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1346834876",
    "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": "102 W COMMERCIAL ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363144",
            "telephone_number": "417-532-1188",
            "fax_number": "417-532-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2015012710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip W Caster MD and John P Caster MD LLC
• Lindsay Poletti, LCSW
• Allison Richter Potter, DDS
• Jennifer S. Powell, MD
• Katie Powell, LMSW
• Randal T Qualls, M.D.
• Lori Ranfeld, M.S.
• Reagan Rehabilitation Outpatient Therapy, LLC
• Jonathan Douglas Wayne Reagan, MPT
• Stetson Wayne Reed, DPT

• All providers in Lebanon, MO
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.