NPIMap

Organization Active NPI

Certified Audiology Distribution, LLC

Doing business as Pristine Hearing Aid Solutions

  • Hearing Aid Equipment
  • Kansas City, MO
National Provider Identifier
1164891875
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
2012011481 Issued in MO
Legal business name
CERTIFIED AUDIOLOGY DISTRIBUTION, LLC
Doing business as
Pristine Hearing Aid Solutions
Practice address
13610 Washington St
Kansas City, MO 64145-1670
Phone
(913) 278-1200
Fax
(816) 943-6364
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mr. Kerby Lane BallNPI 1700158631
Title
Owner
Phone
(913) 687-5421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 1567 KS
Hearing Aid Equipment 332S00000X 2012011481 MO Primary

Addresses

Primary practice location

13610 Washington St
Kansas City, MO 64145-1670

Mailing address

13610 Washington St
Kansas City, MO 64145-1670
Phone (913) 278-1200

Other names 1

  • Pristine Hearing Aid Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

13610 Washington St
Kansas City, MO 64145
Phone (913) 278-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1164891875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 WASHINGTON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451670",
            "telephone_number": "913-278-1200",
            "fax_number": "816-943-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 WASHINGTON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451670",
            "telephone_number": "913-278-1200",
            "fax_number": "816-943-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED AUDIOLOGY DISTRIBUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "KERBY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-687-5421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "KS",
            "license": "1567",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MO",
            "license": "2012011481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Hearing Aid Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.