Individual provider Active NPI

Craig Myers, BC-HIS

  • Hearing Instrument Specialist
  • Shawnee, OK
National Provider Identifier
1740526631
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
565 Issued in OK
Practice address
313 N Union Ave
Shawnee, OK 74801-7065
Phone
(405) 275-5585
Fax
(405) 275-6486
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 565 OK Primary

Addresses

Primary practice location

313 N Union Ave
Shawnee, OK 74801-7065

Mailing address

313 N Union Ave
Shawnee, OK 74801-7065
Phone (405) 275-5585

Other identifiers 1

IdentifierTypeStateIssuer
565OtherOKHEARING AID DISPENSER NUMBER

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

LicenseStateTypeSpecialty
565OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Care Hearing Aid Center 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1740526631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017065",
            "telephone_number": "405-275-5585",
            "fax_number": "405-275-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017065",
            "telephone_number": "405-275-5585",
            "fax_number": "405-275-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER NUMBER",
            "identifier": "565",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.