Individual provider Active NPI

William Samuel Diles III

  • Hearing Instrument Specialist
  • Santa Rosa, CA
National Provider Identifier
1750785200
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7822 Issued in CA
Practice address
55 Mission Circle #105
Santa Rosa, CA 95409-5369
Phone
(707) 538-1000
Fax
(707) 538-1013
NPI assigned
Oct 13, 2014
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 HA7822 CA Primary

Addresses

Primary practice location

55 Mission Circle #105
Santa Rosa, CA 95409-5369

Mailing address

55 Mission Circle #105
Santa Rosa, CA 95409-5369
Phone (707) 538-1000

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
HA7822CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
William Diles, Inc. CurrentSince May 27, 2016 Accepting new patients
Personal Hearing Solutions 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.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1750785200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MISSION CIRCLE #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095369",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION CIRCLE #105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095369",
            "telephone_number": "707-538-1000",
            "fax_number": "707-538-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILES",
        "first_name": "WILLIAM",
        "middle_name": "SAMUEL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.