Individual provider Active NPI

Ricky Leonhard Hartwick, BC-HIS

  • Hearing Instrument Specialist
  • Manhattan, KS
National Provider Identifier
1285767897
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
783 Issued in KS
Practice address
473 E Poyntz Ave
Manhattan, KS 66502-5045
Phone
(785) 539-4593
Fax
(785) 539-4983
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 783 KS Primary

Addresses

Primary practice location

473 E Poyntz Ave
Manhattan, KS 66502-5045

Mailing address

473 E Poyntz Ave
Manhattan, KS 66502-5045
Phone (785) 539-4593

Other identifiers 1

IdentifierTypeStateIssuer
100372900AMedicaidKS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
783KSMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1285767897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025045",
            "telephone_number": "785-539-4593",
            "fax_number": "785-539-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025045",
            "telephone_number": "785-539-4593",
            "fax_number": "785-539-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWICK",
        "first_name": "RICKY",
        "middle_name": "LEONHARD",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372900A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.