Active NPI
Dustin Spillman, AU.D.
- Audiologist
- Kalispell, MT
National Provider Identifier
1700258019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5221
- Practice address
- 160 Heritage Way
Ste 201
Kalispell, MT 59901-3161 - Phone
- (406) 752-1014
- Fax
- (406) 756-1379
- NPI assigned
- Oct 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Audiologist
- Bremerton, WA
- NPI 1538696612
-
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
-
- Hearing and Speech Clinic/Center
- Bremerton, WA
- NPI 1972713881
-
- Audiologist
- Gig Harbor, WA
- NPI 1336318310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013000820 | WA | Practitioner - Qualified Audiologist | 6305156613 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5221 | MT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiologists Northwest, Inc. | Audiologist | Current | Accepting new patients |
| Audiologists Northwest | Past | Accepting new patients | |
| Logan Health - Whitefish | Past | Accepting new patients | |
| Harbor Audiology & Hearing Services Inc | Audiologist | Past | Accepting new patients |
Locations
1411 Wheaton Way
Bremerton, WA 98310
Phone (360) 479-4065
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 5221 | MT | |
| Hearing Instrument Specialist | 237700000X | 5221 | MT | |
| Audiologist | 231H00000X | 5221 | MT | Primary |
| Hearing Aid Equipment | 332S00000X | 5221 | MT |
Addresses
NPPES NPI RegistryPrimary practice location
160 Heritage Way
Ste 201
Kalispell, MT 59901-3161
Mailing address
160 Heritage Way
Ste 201
Kalispell, MT 59901-3161
Phone (406) 752-1014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2016.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1700258019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HERITAGE WAY",
"address_2": "STE 201",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013161",
"telephone_number": "406-752-1014",
"fax_number": "406-756-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HERITAGE WAY",
"address_2": "STE 201",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013161",
"telephone_number": "406-752-1014",
"fax_number": "406-756-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLMAN",
"first_name": "DUSTIN",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MT",
"license": "5221",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MT",
"license": "5221",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MT",
"license": "5221",
"primary": true
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "MT",
"license": "5221",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.