Active NPI
Dustin Frank Barrett
- Hearing Instrument Specialist
- O Fallon, MO
National Provider Identifier
1679900823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2012042743
- Practice address
- 2969 Highway K
O Fallon, MO 63368-7862 - Phone
- (636) 379-4691
- Fax
- (636) 379-4820
- NPI assigned
- Oct 2, 2013
- 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 | 2012042743 | MO | Primary |
Addresses
Primary practice location
2969 Highway K
O Fallon, MO 63368-7862
Mailing address
2969 Highway K
Ofallon, IL 63366-7862
Phone (636) 379-4691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012042743 | Other | MO | 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 |
|---|---|---|---|
| 2012042743 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad McMillin, Inc | Past | Accepting new patients |
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
- O Fallon, MO
- NPI 1285850339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1679900823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2969 HIGHWAY K",
"city": "OFALLON",
"state": "IL",
"postal_code": "633667862",
"telephone_number": "636-379-4691",
"fax_number": "636-379-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687862",
"telephone_number": "636-379-4691",
"fax_number": "636-379-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "DUSTIN",
"middle_name": "FRANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "2012042743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER LICENSE",
"identifier": "2012042743",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.