Jordan Smith, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501007968 Issued in MI

Practice address

843 W Summit Ave
Muskegon, MI 49441-4047

Phone

(231) 755-3920

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Williams Hearing

  • Hearing Aid Equipment
  • Muskegon, MI
  • NPI 1962431502
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1447734579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414047",
            "telephone_number": "231-755-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414047",
            "telephone_number": "231-755-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501007968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID SALESPERSON",
            "identifier": "3501007968",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Smith
• Danielle Smith, LLC
• Gregory L Smith, PT
• Jennifer Lynn Smith
• Jodi Smith
• Kizzy Smith
• Laure Sue Smith, LPN
• Leon Smith, D.O.
• Melissa Sara Smith
• Mulissa Smith

• Hearing Instrument Specialist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.