Individual provider Active NPI

Jesse Smith, H.I.D.

  • Hearing Instrument Specialist
  • Duluth, MN
National Provider Identifier
1851751325
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2762 Issued in MN
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

Updated by the provider on Feb 26, 2016

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 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

LicenseStateTypeSpecialty
2762MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.