Individual provider Active NPI

David Larry Vallery

  • Hearing Instrument Specialist
  • Mason City, IA
National Provider Identifier
1407211998
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
078994 Issued in IA
Practice address
202 1St St SE
Suite 209
Mason City, IA 50401-3946
Phone
(641) 423-1778
NPI assigned
Dec 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 078994 IA Primary

Addresses

Primary practice location

202 1St St SE
Suite 209
Mason City, IA 50401-3946

Mailing address

927 Riders Club Rd
Onalaska, WI 54650-2041
Phone (608) 783-7399

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
078994IAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1407211998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502041",
            "telephone_number": "608-783-7399",
            "fax_number": "608-783-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 1ST ST SE",
            "address_2": "SUITE 209",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013946",
            "telephone_number": "641-423-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLERY",
        "first_name": "DAVID",
        "middle_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "078994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.