Individual provider Active NPI

Don Kleindl III, A.A., BC-HIS

  • Hearing Instrument Specialist
  • Cherry Valley, IL
National Provider Identifier
1093059438
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3060 Issued in IL
Practice address
805 E State St
Cherry Valley, IL 61016-9363
Phone
(815) 298-5559
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3060 IL Primary
Hearing Instrument Specialist 237700000X 1363 WI

Addresses

Primary practice location

805 E State St
Cherry Valley, IL 61016-9363

Mailing address

12135 Laurel LN
Caledonia, IL 61011-9110
Phone (815) 298-5559

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
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
3060ILMDHearing Instrument Specialist
1363WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1093059438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12135 LAUREL LN",
            "city": "CALEDONIA",
            "state": "IL",
            "postal_code": "610119110",
            "telephone_number": "815-298-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E STATE ST",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169363",
            "telephone_number": "815-298-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINDL",
        "first_name": "DON",
        "name_suffix": "III",
        "credential": "A.A., BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3060",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.