Individual provider Active NPI

Mary Kay Kochman, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Chandler, AZ
National Provider Identifier
1285788752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA1468 Issued in AZ
Practice address
595 N Dobson Rd Ste D79
Chandler, AZ 85224-4234
Phone
(480) 899-0076
Fax
(480) 786-0152
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA1468 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd Ste D79
Chandler, AZ 85224-4234

Mailing address

1932 E Golden CT
Chandler, AZ 85225-1653
Phone (480) 899-2396

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
DA1468AZMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hearcare Network, Inc Audiologist-Hearing Aid Fitter PastSince Aug 16, 2001 Accepting new patients
Red Rock Hearing LLC PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285788752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 E GOLDEN CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251653",
            "telephone_number": "480-899-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE D79",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244234",
            "telephone_number": "480-899-0076",
            "fax_number": "480-786-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN",
        "first_name": "MARY KAY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.