Individual provider Active NPI

Matthew D Meza, HAS

  • Hearing Instrument Specialist
  • Sun City Center, FL
National Provider Identifier
1609239599
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS 5156 Issued in FL
Practice address
139 S Pebble Beach Blvd Ste 104
Sun City Center, FL 33573-4711
Phone
(813) 634-5678
Fax
(813) 634-8249
NPI assigned
Mar 30, 2016
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X FL
Hearing Instrument Specialist 237700000X AS 5156 FL Primary

Addresses

Primary practice location

139 S Pebble Beach Blvd Ste 104
Sun City Center, FL 33573-4711

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (800) 328-8602

Other practice location 1

1466 Oakfield Dr
Brandon, FL 33511-4853
Phone (813) 654-4508

Other practice location 2

1301 10th St E Ste E
Palmetto, FL 34221-4161
Phone (941) 722-0043

Other practice location 3

4137 Tamiami Trl S
Venice, FL 34293-5110
Phone (941) 485-6005

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
AS 5156FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1609239599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "800-328-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S PEBBLE BEACH BLVD STE 104",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335734711",
            "telephone_number": "813-634-5678",
            "fax_number": "813-634-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1466 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114853",
            "country_code": "US",
            "telephone_number": "813-654-4508",
            "fax_number": "813-654-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 10th St E Ste E",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342214161",
            "country_code": "US",
            "telephone_number": "941-722-0043",
            "fax_number": "941-722-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4137 Tamiami Trl S",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342935110",
            "country_code": "US",
            "telephone_number": "941-485-6005",
            "fax_number": "941-485-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZA",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS 5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.