Organization Active NPI

Warrior Hearing Center of Smithville, LLC

  • Audiologist
  • Smithville, MO
National Provider Identifier
1437747060
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
WARRIOR HEARING CENTER OF SMITHVILLE, LLC
Practice address
1103 S US Highway 169 Ste F
Smithville, MO 64089-9322
Phone
(816) 592-3575
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Janice Leigh Richbourg, AUDNPI 1962673806
Title
Owner
Phone
(816) 592-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

1103 S US Highway 169 Ste F
Smithville, MO 64089-9322

Mailing address

1103 S US Highway 169 Ste F
Smithville, MO 64089-9322
Phone (816) 592-3575

Other names 1

  • Warrior Hearing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112001023 MO Part B Supplier - Clinic/Group Practice 7315350378 Receives reassigned benefits from 1 practitioner
Practice locations: Smithville, MO

National Provider Directory

National Provider Directory

Locations

1103 S US Highway 169
Ste F
Smithville, MO 64089
Phone (816) 592-3575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1437747060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S US HIGHWAY 169 STE F",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899322",
            "telephone_number": "816-592-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S US HIGHWAY 169 STE F",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899322",
            "telephone_number": "816-592-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR HEARING CENTER OF SMITHVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "RICHBOURG",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-592-3575",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrior Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.