Organization Active NPI

Medical Hearing Clinic, LLC

  • Audiologist
  • Ogden, UT
National Provider Identifier
1255157897
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MEDICAL HEARING CLINIC, LLC
Practice address
1100 Country Hills Dr Ste 200
Ogden, UT 84403-2511
Phone
(801) 399-5014
Fax
(801) 399-0830
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Dr. Kody Kennington, AU.D.NPI 1982840716
Title
President
Phone
(801) 399-5014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1100 Country Hills Dr Ste 200
Ogden, UT 84403-2511

Mailing address

1100 Country Hills Dr Ste 200
Ogden, UT 84403-2511
Phone (801) 399-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317004325 UT Part B Supplier - Clinic/Group Practice 9234613381 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Locations

1100 Country Hills Dr
Ste 200
Ogden, UT 84403
Phone (801) 399-5014

Practitioners & affiliated clinicians

Practitioners 2

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": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1255157897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COUNTRY HILLS DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032511",
            "telephone_number": "801-399-5014",
            "fax_number": "801-399-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COUNTRY HILLS DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032511",
            "telephone_number": "801-399-5014",
            "fax_number": "801-399-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEARING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KENNINGTON",
        "authorized_official_first_name": "KODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-399-5014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.