Michael J Kanak, B.S.,HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

631 Issued in TN

Practice address

115 Chalford PL
Lebanon, TN 37087-7603

Phone

(615) 945-4327

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1144564725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHALFORD PL",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877603",
            "telephone_number": "615-945-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHALFORD PL",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877603",
            "telephone_number": "615-945-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "B.S.,HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Hearing Instrument Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.