Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Matthew David Black, HIS

Individual provider Hearing Instrument Specialist · NPI 1639718745

Mr. Matthew David Black, HIS is a Hearing Instrument Specialist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

3656 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone: (208) 529-4969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence HA3634 (ID)

Record details

NPI number1639718745
Entity typeIndividual (Type 1)
GenderMale
Credentials HIS
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

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