Individual provider Active NPI

Daniel E Bozwell, H.I.S.

  • Hearing Instrument Specialist
  • Ankeny, IA
National Provider Identifier
1972836765
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
127254 Issued in IA
Practice address
1810 SW White Birch Cir Ste 104
Ankeny, IA 50023-7226
Phone
(515) 964-1134
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 127254 IA Primary
Hearing Instrument Specialist 237700000X 3179 IL

Addresses

Primary practice location

1810 SW White Birch Cir Ste 104
Ankeny, IA 50023-7226

Mailing address

55 Circle Way
Saint Peters, MO 63376-6607
Phone (636) 543-9500

Other practice location 1

55 Circle Way
Saint Peters, MO 63376-6607
Phone (636) 543-9500

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
127254IAMDHearing Instrument Specialist
3179ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Anywhere LLC CurrentSince Apr 13, 2025 Accepting new patients
Midwest Business Partners LLC Hearing Instrument Specialist CurrentSince Apr 13, 2025 Accepting new patients
Hearing Doctors of Iowa, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Homestead Hearing Care LLC Past Accepting new patients

Locations

1810 SW White Birch Cir
Ste 104
Ankeny, IA 50023
Phone (515) 964-1134

Organizations & group practices 4

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1972836765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CIRCLE WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766607",
            "telephone_number": "636-543-9500",
            "fax_number": "636-543-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SW WHITE BIRCH CIR STE 104",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237226",
            "telephone_number": "515-964-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Circle Way",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766607",
            "country_code": "US",
            "telephone_number": "636-543-9500",
            "fax_number": "636-543-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZWELL",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "127254",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.