Individual provider Active NPI

Kevin L McConnell, HAP

  • Hearing Instrument Specialist
  • Aurora, CO
National Provider Identifier
1063761757
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0000219 Issued in CO
Practice address
12510 E Iliff Ave
Suite #100
Aurora, CO 80014-6376
Phone
(303) 745-1431
NPI assigned
Sep 10, 2012
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 0000219 CO Primary

Addresses

Primary practice location

12510 E Iliff Ave
Suite #100
Aurora, CO 80014-6376

Mailing address

1001 E. Sunset Road
Unit 96595
Las Vegas, NV 89193-1246
Phone (702) 798-0113

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
0000219COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Hearing Solutions LLC Hearing Instrument Specialist Current Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients
Northland Hearing Centers, Inc. Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1063761757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E. SUNSET ROAD",
            "address_2": "UNIT 96595",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891931246",
            "telephone_number": "702-798-0113",
            "fax_number": "866-291-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE",
            "address_2": "SUITE #100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146376",
            "telephone_number": "303-745-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "HAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "0000219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.