Active NPI
Jeremy Merryman
- Hearing Instrument Specialist
- Spencer, IA
National Provider Identifier
1649790205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1081
- Practice address
- 1723 Highway Blvd Ste 2
Spencer, IA 51301-2208 - Phone
- (800) 837-1049
- NPI assigned
- Jun 26, 2017
- 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 | 1081 | IA | Primary |
Addresses
Primary practice location
1723 Highway Blvd Ste 2
Spencer, IA 51301-2208
Mailing address
4524 Deer Shadow TRL
Sioux City, IA 51106-9728
Phone (712) 454-0031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1081 | Other | IA | HEARING AID DISPENSER LICENSE |
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 |
|---|---|---|---|
| 1081 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri State Hearing Consultants Inc. | Current | Accepting new patients |
Locations
1723 Highway Blvd
Ste 2
Spencer, IA 51301
Phone (712) 262-5510
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Spencer, IA
- NPI 1639616022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1649790205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4524 DEER SHADOW TRL",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511069728",
"telephone_number": "712-454-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 HIGHWAY BLVD STE 2",
"city": "SPENCER",
"state": "IA",
"postal_code": "513012208",
"telephone_number": "800-837-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRYMAN",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": "1081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER LICENSE",
"identifier": "1081",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.