Active NPI
Gregory Dean Wales, HID
- Hearing Instrument Specialist
- Alexandria, MN
National Provider Identifier
1528286366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2034
- Practice address
- 1501 Broadway St
Suite#1
Alexandria, MN 56308-2537 - Phone
- (320) 762-2505
- Fax
- (320) 763-9010
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2034 | MN | Primary |
Addresses
Primary practice location
1501 Broadway St
Suite#1
Alexandria, MN 56308-2537
Mailing address
1501 Broadway
Suite#1
Alexandria, MN 56308
Phone (320) 762-2505
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 |
|---|---|---|---|
| 2034 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528286366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 BROADWAY",
"address_2": "SUITE#1",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "56308",
"telephone_number": "320-762-2505",
"fax_number": "320-763-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BROADWAY ST",
"address_2": "SUITE#1",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082537",
"telephone_number": "320-762-2505",
"fax_number": "320-763-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALES",
"first_name": "GREGORY",
"middle_name": "DEAN",
"credential": "HID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.