Individual provider Active NPI

Garth Knick

  • Hearing Instrument Specialist
  • Greenville, OH
National Provider Identifier
1295241040
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL03347 Issued in OH
Practice address
303 S Broadway St
Greenville, OH 45331-1906
Phone
(937) 548-4242
NPI assigned
Dec 15, 2017
Last updated
Dec 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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 IL03347 OH Primary

Addresses

Primary practice location

303 S Broadway St
Greenville, OH 45331-1906

Mailing address

303 S Broadway St
Greenville, OH 45331-1906

Other identifiers 1

IdentifierTypeStateIssuer
IL03347OtherOHSTATE OF OHIO HEARING AID DEALERS & FITTERS

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
IL03347OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kmy Audiology Past Accepting new patients
Hosteach, Inc Past 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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1295241040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311906",
            "telephone_number": "937-548-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICK",
        "first_name": "GARTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL03347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO HEARING AID DEALERS & FITTERS",
            "identifier": "IL03347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.