Organization Active NPI

Ideal Billing & Professional Services, LLC

  • Contractor
  • Estill Springs, TN
National Provider Identifier
1114174463
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
IDEAL BILLING & PROFESSIONAL SERVICES, LLC
Practice address
5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone
(931) 392-4169
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Kim A Burch
Title
Owner
Phone
(931) 392-4169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

5833 Aedc Rd
Estill Springs, TN 37330-3915

Mailing address

5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone (931) 392-4169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1114174463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 AEDC RD",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303915",
            "telephone_number": "931-392-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 AEDC RD",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303915",
            "telephone_number": "931-392-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL BILLING & PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-392-4169"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estill Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.