Kenneth John Bachman

Key facts

NPI

1285466342

Entity type

Individual (NPI type 1)

Primary specialty

Hearing Instrument Specialist 237700000X

Practice address

12301 N Western Ave
Oklahoma City, OK 73114-8016

Phone

(405) 962-8123

NPI assigned

Aug 16, 2024

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2024.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1285466342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148016",
            "telephone_number": "405-962-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148016",
            "telephone_number": "405-962-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

• Madeline Bach
• Theresa Bach
• Marianne Bacharach, MD
• Brinlee Grace Bachelor
• Kathryn Elizabeth Bachman, PA-C
• Nikhil Anand Bachoo, MBBS
• Back & Posture Clinic of Oklahoma
• Back and Posture Clinic of Oklahoma, L.L.C.
• Margaret Back, R.N., IBCLC, RLC
• Chelsye R Bacon, CMII

All providers in Oklahoma City, OK · Hearing Instrument Specialist in Oklahoma