Wade Rix Samford

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA60804937 Issued in WA

Practice address

11020 Optum Cir
Eden Prairie, MN 55344-2503

Phone

(855) 823-9355

NPI assigned

Nov 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1366087801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "855-823-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMFORD",
        "first_name": "WADE",
        "middle_name": "RIX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60804937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT SPECIALIST",
            "identifier": "HA60804937",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "hi@hihealthinnovations.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "11020 Optum Cir",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553442503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maryama Kulaten Said
• Muna Kulaten Said
• Mariia Sakharova
• Katrina Mae Salo
• Jaime Kristin Salvatore, D.O.
• Elizabeth Samuel, LICSW
• Krista Emily Samuelson
• Nathaniel Saul Samuelson, DC
• Andres Roberto Sanchez, DDS
• Ingrid Sanchez, MA

• Hearing Instrument Specialist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.