Active NPI
Kent Christian Fenner
- Hearing Instrument Specialist
- Naples, FL
National Provider Identifier
1013428002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5240
- Practice address
- 1415 Panther LN
Naples, FL 34109-7874 - Phone
- (239) 591-6604
- Fax
- (239) 591-6605
- NPI assigned
- Oct 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5240 | FL | Primary |
Addresses
Primary practice location
1415 Panther LN
Naples, FL 34109-7874
Mailing address
215 Shuman Blvd
Naperville, IL 60563-8458
Phone (630) 303-5380
Other practice location 1
8951 Bonita Beach Rd SE Ste 240
Bonita Springs, FL 34135-4203
Phone (239) 495-2158
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
| License | State | Type | Specialty |
|---|---|---|---|
| AS5240 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | 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": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013428002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PANTHER LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341097874",
"telephone_number": "239-591-6604",
"fax_number": "239-591-6605"
}
],
"practiceLocations": [
{
"address_1": "8951 Bonita Beach Rd SE Ste 240",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "341354203",
"country_code": "US",
"telephone_number": "239-495-2158",
"fax_number": "239-495-2515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENNER",
"first_name": "KENT",
"middle_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.