Active NPI
Kyle Kleinschmidt
- Hearing Instrument Specialist
- Alton, IL
National Provider Identifier
1124403431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3207
- Practice address
- 3119 Washington Ave
Alton, IL 62002-5473 - Phone
- (618) 463-9490
- Fax
- (618) 463-9491
- NPI assigned
- Jul 28, 2015
- Last updated
- Jul 28, 2015
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3207 | IL | Primary |
Addresses
Primary practice location
3119 Washington Ave
Alton, IL 62002-5473
Mailing address
3119 Washington Ave
Alton, IL 62002-5473
Phone (618) 463-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3207 | Other | IL | HEARING AID DISPENSER LICENSE |
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 |
|---|---|---|---|
| 3207 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad McMillin, Inc. | Past | Accepting new patients |
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, 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": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1124403431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620025473",
"telephone_number": "618-463-9490",
"fax_number": "618-463-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620025473",
"telephone_number": "618-463-9490",
"fax_number": "618-463-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINSCHMIDT",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER LICENSE",
"identifier": "3207",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.