Individual provider Active NPI

Mike R. Vanderiet, BC-HIS

  • Hearing Instrument Specialist
  • Missoula, MT
National Provider Identifier
1538457791
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
235 Issued in MT
Practice address
705 S. Reserve St. #B
(Hearing Aid Institute of Missoula)
Missoula, MT 59801
Phone
(406) 543-5025
Fax
(406) 721-6071
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 235 MT Primary

Addresses

Primary practice location

705 S. Reserve St. #B
(Hearing Aid Institute of Missoula)
Missoula, MT 59801

Mailing address

705 S. Reserve St. #B
(Hearing Aid Institute of Missoula)
Missoula, MT 59801
Phone (406) 543-5025

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

LicenseStateTypeSpecialty
235MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers Inc Hearing Instrument Specialist Past Accepting new patients
My Hearing Centers, LLC PastSince Aug 29, 2021 Accepting new patients
My Hearing Centers, LLC Hearing Instrument Specialist Past Accepting new patients
Hearing Aid Institute of Missoula Hearing Instrument Specialist Past Accepting new patients
My Hearing Centers, LLC PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1538457791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S. RESERVE ST. #B",
            "address_2": "(HEARING AID INSTITUTE OF MISSOULA)",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-543-5025",
            "fax_number": "406-721-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S. RESERVE ST. #B",
            "address_2": "(HEARING AID INSTITUTE OF MISSOULA)",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-543-5025",
            "fax_number": "406-721-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERIET",
        "first_name": "MIKE",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MT",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.