Larry Joseph Dellwo, M.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

132 Issued in IA

Practice address

107 W 5TH St
Storm Lake, IA 50588-2343

Phone

(712) 732-3775

Fax

(712) 732-3775

NPI assigned

Dec 6, 2006

Last updated

Dec 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Emily Teresa Gutzmann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Storm Lake Hearing Aid Service, Inc

  • Audiologist
  • Storm Lake, IA
  • NPI 1497670301
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1619036860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882343",
            "telephone_number": "712-732-3775",
            "fax_number": "712-732-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882343",
            "telephone_number": "712-732-3775",
            "fax_number": "712-732-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLWO",
        "first_name": "LARRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "132",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086892",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GUTZMANN",
            "middle_name": "TERESA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allyson Marie Davidson, DPT
• Kerri Amber Davidson, P.T.A.
• Faith E Daws, PHYSICAL THERAPIST
• Fred Dehaan, O.D.
• Michael A Dehner, MD
• Jason Michael Dierking, M.D.
• Nyakhur Diew
• Tessa Doerksen
• Cynthia Kay Dorr-Harthan, R.PH.
• Daniel E. Douglas, D.D.S.

• Audiologist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.