Active NPI
Mary Opp, HIS
- Hearing Instrument Specialist
- Saint Charles, MO
National Provider Identifier
1467712844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2007036260
- Practice address
- 1480 Woodstone Dr Ste 107
Saint Charles, MO 63304-6872 - Phone
- (636) 477-6677
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2007036260 | MO | Primary |
Addresses
Primary practice location
1480 Woodstone Dr Ste 107
Saint Charles, MO 63304-6872
Mailing address
1480 Woodstone Dr
Saint Charles, MO 63304-6869
Phone (636) 477-6677
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007036260 | MO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1467712844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 WOODSTONE DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633046869",
"telephone_number": "636-477-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 WOODSTONE DR STE 107",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633046872",
"telephone_number": "636-477-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPP",
"first_name": "MARY",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2007036260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.