Individual provider Active NPI

Matthew WF Smith, MBA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1609179985
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
4844 Issued in NM
Practice address
7520 Montgomery Blvd NE
Suite E-15
Albuquerque, NM 87109-1521
Phone
(505) 872-4327
Fax
(505) 872-1041
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4844 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE
Suite E-15
Albuquerque, NM 87109-1521

Mailing address

7520 Montgomery Blvd NE
Suite E-15
Albuquerque, NM 87109-1521
Phone (505) 872-4327

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)
Enrolled
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1609179985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "SUITE E-15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-872-4327",
            "fax_number": "505-872-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "SUITE E-15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-872-4327",
            "fax_number": "505-872-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "WF",
        "credential": "MBA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "4844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.