Organization Active NPI

Health Services Wyoming LLC

Doing business as Miracle Ear

  • Hearing Instrument Specialist
  • Garden City, ID
National Provider Identifier
1497343107
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
HEALTH SERVICES WYOMING LLC
Doing business as
Miracle Ear
Practice address
10557 W Carlton Bay Dr Ste 201
Garden City, ID 83714-5111
Phone
(208) 310-7127
Fax
(208) 912-0448
NPI assigned
Jan 7, 2021
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Melissa Allsopp
Title
Insurance and Billing Specialist
Phone
(208) 310-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

10557 W Carlton Bay Dr Ste 201
Garden City, ID 83714-5111

Mailing address

10557 W Carlton Bay Dr Ste 201
Garden City, ID 83714-5111
Phone (208) 310-7127

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1497343107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 W CARLTON BAY DR STE 201",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145111",
            "telephone_number": "208-310-7127",
            "fax_number": "208-912-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 W CARLTON BAY DR STE 201",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145111",
            "telephone_number": "208-310-7127",
            "fax_number": "208-912-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES WYOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ALLSOPP",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "INSURANCE AND BILLING SPECIALIST",
        "authorized_official_telephone_number": "208-310-7127"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.