NPIMap

Organization Active NPI

Kidspeak Management, LLC

  • Hearing and Speech Clinic/Center
  • Charlotte, NC
National Provider Identifier
1003365362
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
KIDSPEAK MANAGEMENT, LLC
Practice address
6911 Shannon Willow Rd
Suite 700
Charlotte, NC 28226-1346
Phone
(704) 540-3777
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Gordy Rogers, M.S.
Title
Manager
Phone
(704) 540-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

6911 Shannon Willow Rd
Suite 700
Charlotte, NC 28226-1346

Mailing address

6911 Shannon Willow Rd
Suite 700
Charlotte, NC 28226-1346
Phone (704) 540-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1003365362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD",
            "address_2": "SUITE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261346",
            "telephone_number": "704-540-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD",
            "address_2": "SUITE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261346",
            "telephone_number": "704-540-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEAK MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GORDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-540-3777",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.