Active NPI
Michael D. Payne
- Hearing Instrument Specialist
- Redding, CA
National Provider Identifier
1598834608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA3049
- Practice address
- 1890 Park Marina Dr
Suite 105
Redding, CA 96001-0961 - Phone
- (530) 241-2200
- Fax
- (530) 241-3200
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA3049 | CA | Primary |
Addresses
Primary practice location
1890 Park Marina Dr
Suite 105
Redding, CA 96001-0961
Mailing address
1890 Park Marina Dr
Suite 105
Redding, CA 96001-0961
Phone (530) 241-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA0030490 | Medicaid | CA |
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 |
|---|---|---|---|
| HA3049 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1598834608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 PARK MARINA DR",
"address_2": "SUITE 105",
"city": "REDDING",
"state": "CA",
"postal_code": "960010961",
"telephone_number": "530-241-2200",
"fax_number": "530-241-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 PARK MARINA DR",
"address_2": "SUITE 105",
"city": "REDDING",
"state": "CA",
"postal_code": "960010961",
"telephone_number": "530-241-2200",
"fax_number": "530-241-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MICHAEL",
"middle_name": "D.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA3049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HA0030490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.