Active NPI
Michael Dean Smith, NBC HIS
- Hearing Instrument Specialist
- Jefferson, IA
National Provider Identifier
1720052996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 496
- Practice address
- 100 S Wilson Ave
Jefferson, IA 50129 - Phone
- (515) 386-2443
- Fax
- (515) 233-1012
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | IA | ||
| Hearing Instrument Specialist | 237700000X | 496 | IA | Primary |
Addresses
Primary practice location
100 S Wilson Ave
Jefferson, IA 50129
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other practice location 1
900 Central Ave E
Clarion, IA 50525-1620
Phone (515) 602-6910
Other practice location 2
118 E 13th St
Ames, IA 50010
Phone (515) 233-1367
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 |
|---|---|---|---|
| 496 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 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 and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1720052996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S WILSON AVE",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "50129",
"telephone_number": "515-386-2443",
"fax_number": "515-233-1012"
}
],
"practiceLocations": [
{
"address_1": "900 Central Ave E",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "IA",
"postal_code": "505251620",
"country_code": "US",
"telephone_number": "515-602-6910",
"fax_number": "319-235-5360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 E 13th St",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "50010",
"country_code": "US",
"telephone_number": "515-233-1367",
"fax_number": "515-233-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "NBC HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": "496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.