Active NPI
Kevin L McConnell, HAP
- Hearing Instrument Specialist
- Aurora, CO
National Provider Identifier
1063761757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 0000219
- 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, 2016
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000219 | CO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
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- NPI 1952762767
Hearing Instrument Specialist
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- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
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.