Active NPI
Kurt T Pfaff, AU.D.
- Audiologist
- Hopkins, MN
National Provider Identifier
1295897759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5489
- Practice address
- 10417 Excelsior Blvd
Suite 2
Hopkins, MN 55343-3421 - Phone
- (952) 931-9144
- Fax
- (952) 931-9510
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5489 | MN | Primary |
Addresses
Primary practice location
10417 Excelsior Blvd
Suite 2
Hopkins, MN 55343-3421
Mailing address
10417 Excelsior Blvd
Suite 2
Hopkins, MN 55343-3421
Phone (952) 931-9144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5G607PF | Other | MN | BCBS OF MN |
| 45-00793 | Other | MN | MEDICA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5489 | MN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295897759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10417 EXCELSIOR BLVD",
"address_2": "SUITE 2",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553433421",
"telephone_number": "952-931-9144",
"fax_number": "952-931-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10417 EXCELSIOR BLVD",
"address_2": "SUITE 2",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553433421",
"telephone_number": "952-931-9144",
"fax_number": "952-931-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFF",
"first_name": "KURT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "5489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "5G607PF",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "45-00793",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, MN
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.