NPIMap

Individual provider Active NPI

Kenneth Dean Billheimer, AU.D.

  • Audiologist
  • Pleasanton, CA
National Provider Identifier
1235204751
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU746 Issued in CA
Practice address
4460 Black Ave Ste F
Suite F
Pleasanton, CA 94566-6139
Phone
(925) 484-3507
Fax
(925) 484-3556
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU746 CA Primary
Assistive Technology Practitioner Audiologist 231HA2400X AU746 CA
Audiologist-Hearing Aid Fitter 237600000X AU746 CA
Hearing Instrument Specialist 237700000X AU746 CA
Assistive Technology Supplier Audiologist 231HA2500X AU746 CA

Addresses

Primary practice location

4460 Black Ave Ste F
Suite F
Pleasanton, CA 94566-6139

Mailing address

4460 Black Ave Ste F
Suite F
Pleasanton, CA 94566-6139
Phone (925) 484-3507

Other identifiers 1

IdentifierTypeStateIssuer
931228205OtherCAFEDERAL TAX ID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
746CAMDMental Health Occupational Therapist
AU746CAMDAssistive Technology Practitioner Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 16, 2020 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 28, 2022 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients

Organizations & group practices 6

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1235204751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE F",
            "address_2": "SUITE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-484-3507",
            "fax_number": "925-484-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE STE F",
            "address_2": "SUITE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666139",
            "telephone_number": "925-484-3507",
            "fax_number": "925-484-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLHEIMER",
        "first_name": "KENNETH",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU746",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU746",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU746",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "AU746",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "CA",
            "license": "AU746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "931228205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.