Active NPI
Michael K Grove, NBC-HIS
- Hearing Instrument Specialist
- Massillon, OH
National Provider Identifier
1356467526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1281
- Practice address
- 418 Lake Ave NE
Massillon, OH 44646-4352 - Phone
- (330) 833-0531
- Fax
- (330) 833-2917
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1281 | OH | Primary |
Addresses
Primary practice location
418 Lake Ave NE
Massillon, OH 44646-4352
Mailing address
418 Lake Ave NE
Massillon, OH 44646-4352
Phone (330) 833-0531
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1281 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356467526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 LAKE AVE NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464352",
"telephone_number": "330-833-0531",
"fax_number": "330-833-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 LAKE AVE NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464352",
"telephone_number": "330-833-0531",
"fax_number": "330-833-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "MICHAEL",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "NBC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.