Individual provider Active NPI

Wesleigh J Stoltz, HEARING AID DISPENSE

  • Hearing Instrument Specialist
  • Modesto, CA
National Provider Identifier
1760015226
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8575 Issued in CA
Practice address
200 W Roseburg Ave Ste B2
Modesto, CA 95350-5200
Phone
(209) 287-3272
Fax
(209) 287-3232
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 8575 CA Primary

Addresses

Primary practice location

200 W Roseburg Ave Ste B2
Modesto, CA 95350-5200

Mailing address

200 W Roseburg Ave Ste B2
Modesto, CA 95350-5200
Phone (209) 287-3272

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1760015226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ROSEBURG AVE STE B2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505200",
            "telephone_number": "209-287-3272",
            "fax_number": "209-287-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ROSEBURG AVE STE B2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505200",
            "telephone_number": "209-287-3272",
            "fax_number": "209-287-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZ",
        "first_name": "WESLEIGH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.