Active NPI
Jesse Smith, H.I.D.
- Hearing Instrument Specialist
- Duluth, MN
National Provider Identifier
1851751325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2762
- Practice address
- 1301 Miller Trunk Hwy
Suite 500
Duluth, MN 55811-5611 - Phone
- (218) 720-3787
- NPI assigned
- Feb 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2762 | MN | Primary |
Addresses
Primary practice location
1301 Miller Trunk Hwy
Suite 500
Duluth, MN 55811-5611
Mailing address
1802 Galloway St
Eau Claire, WI 54703-3467
Phone (715) 831-8966
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 |
|---|---|---|---|
| 2762 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Hearing LLC | Hearing Instrument Specialist | 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.
-
dba Miracle Ear
- Hearing Aid Equipment
- Hermantown, MN
- NPI 1184811267
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1851751325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 GALLOWAY ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033467",
"telephone_number": "715-831-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MILLER TRUNK HWY",
"address_2": "SUITE 500",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115611",
"telephone_number": "218-720-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESSE",
"credential": "H.I.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.