Individual provider Active NPI

Thomas J Metz, MS

  • Audiologist
  • Ridgecrest, CA
National Provider Identifier
1417994567
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1278 Issued in CA
Practice address
121 S China Lake Blvd
Ste. B
Ridgecrest, CA 93555-4049
Phone
(760) 375-9399
Fax
(760) 375-9399
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1278 CA Primary

Addresses

Primary practice location

121 S China Lake Blvd
Ste. B
Ridgecrest, CA 93555-4049

Mailing address

121 S China Lake Blvd
Ste. B
Ridgecrest, CA 93555-4049
Phone (760) 375-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000941 CA Practitioner - Qualified Audiologist 9032015268 Practice locations: Ridgecrest, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 S China Lake Blvd
Suite B
Ridgecrest, CA 93555-4049
Phone (760) 375-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1278CAMDNaturopath
AU1278CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Audiology Inc. Audiologist Past Accepting new patients

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1417994567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S CHINA LAKE BLVD",
            "address_2": "STE. B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554049",
            "telephone_number": "760-375-9399",
            "fax_number": "760-375-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S CHINA LAKE BLVD",
            "address_2": "STE. B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554049",
            "telephone_number": "760-375-9399",
            "fax_number": "760-375-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.