Michael David Grace, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

00667 Issued in IA

Practice address

530 E Broadway
Council Bluffs, IA 51503-4413

Phone

(712) 322-8393

Fax

(712) 322-2660

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace Hearing Instruments, Inc.

  dba Audology Services & Hearing Aid Center

  • Audiologist
  • Council Bluffs, IA
  • NPI 1720152986

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1982892477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034413",
            "telephone_number": "712-322-8393",
            "fax_number": "712-322-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "00667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette E. Gordon-Simet, M.D.
• Tanya Jean Gorman, LADC ACADC CCGC
• Fionna Tay Gov, DMD
• Grace Hearing Instruments, Inc. (Audology Services & Hearing Aid Center)
• Grace Therapy, PC
• Stephanie Grade
• Kallee R Graham
• Robert Wallace Graham, D.O.
• Debrenee D Grajeda, LSW
• Gray Holdings

• Hearing Instrument Specialist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Hearing Instrument Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.