Professional Providers Inc.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

PROFESSIONAL PROVIDERS INC.

Practice address

1027 S Main St
Ste 307
Joplin, MO 64801-4527

Phone

(417) 623-8486

Fax

(417) 623-3551

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Homer Woodson Miller, BC-HIS

Title

Owner

Phone

(417) 623-8486

Specialties & licenses 1

Addresses

Other names 1

• Joplin Hearing Aid Center Doing business as

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1629418801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST",
            "address_2": "STE 307",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014527",
            "telephone_number": "417-623-8486",
            "fax_number": "417-623-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST",
            "address_2": "STE 307",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014527",
            "telephone_number": "417-623-8486",
            "fax_number": "417-623-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "WOODSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-623-8486",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Joplin, MO
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.