Active NPI
Matthew Wetmore, AUD
- Audiologist
- Surprise, AZ
National Provider Identifier
1568950459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA10639
- Practice address
- 14757 W Mountain View Blvd Ste 120
Surprise, AZ 85374-2704 - Phone
- (623) 227-1924
- Fax
- (623) 738-3913
- NPI assigned
- Apr 25, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA10639 | AZ | Primary |
Addresses
Primary practice location
14757 W Mountain View Blvd Ste 120
Surprise, AZ 85374-2704
Mailing address
8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026
Phone (623) 428-0727
Other practice location 1
8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026
Phone (623) 428-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14757 W Mountain View Blvd
Suite 120
Surprise, AZ 85374-2704
Phone (623) 227-1924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Hearcare Network, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Peoria, AZ
- NPI 1033516083
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1568950459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8877 W UNION HILLS DR STE 350",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823026",
"telephone_number": "623-428-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14757 W MOUNTAIN VIEW BLVD STE 120",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742704",
"telephone_number": "623-227-1924",
"fax_number": "623-738-3913"
}
],
"practiceLocations": [
{
"address_1": "8877 W Union Hills Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853823026",
"country_code": "US",
"telephone_number": "623-428-0727",
"fax_number": "623-738-3918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETMORE",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA10639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.