Active NPI
Christopher Kish, AUD
- Audiologist
- Kalispell, MT
National Provider Identifier
1104391630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SLP-AU-LIC-7376
- Practice address
- 10 Three Mile Dr
Kalispell, MT 59901-3034 - Phone
- (406) 257-2273
- NPI assigned
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | SLP-AU-LIC-7376 | MT | Primary |
Addresses
Primary practice location
10 Three Mile Dr
Kalispell, MT 59901-3034
Mailing address
10 Three Mile Dr
Kalispell, MT 59901-3034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190318000668 | MT | Practitioner - Qualified Audiologist | 8123368883 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1104391630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 THREE MILE DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THREE MILE DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013034",
"telephone_number": "406-257-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "CHRISTOPHER",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MT",
"license": "SLP-AU-LIC-7376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.