Active NPI
Scot William Lightbody, HIS
- Hearing Instrument Specialist
- Wheaton, IL
National Provider Identifier
1669679395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1753654
- Practice address
- 55 E Loop Rd
Suite 204
Wheaton, IL 60187-2038 - Phone
- (630) 580-5777
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 2007
- 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 | 1753654 | IL | Primary |
Addresses
Primary practice location
55 E Loop Rd
Suite 204
Wheaton, IL 60187-2038
Mailing address
24W620 Eugenia Dr
Naperville, IL 60540-3836
Phone (630) 580-5777
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 |
|---|---|---|---|
| 1753654 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Ear Nose Throat,LTD | Past | Accepting new patients | |
| Hearing Specialists of Dupage, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
dba Hearing Aid Studio
- Audiologist
- Wilmington, NC
- NPI 1407977598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669679395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24W620 EUGENIA DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403836",
"telephone_number": "630-580-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E LOOP RD",
"address_2": "SUITE 204",
"city": "WHEATON",
"state": "IL",
"postal_code": "601872038",
"telephone_number": "630-580-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTBODY",
"first_name": "SCOT",
"middle_name": "WILLIAM",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "1753654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.