Active NPI
Kurt Richard Kinifick
- Hearing Instrument Specialist
- Albuquerque, NM
National Provider Identifier
1376039008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 609
- Practice address
- 5504 Menaul Blvd NE Ste M
Albuquerque, NM 87110-3184 - Phone
- (505) 880-8898
- Fax
- (505) 881-4952
- NPI assigned
- Jul 5, 2018
- Last updated
- Jul 5, 2018
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 609 | NM | Primary |
Addresses
Primary practice location
5504 Menaul Blvd NE Ste M
Albuquerque, NM 87110-3184
Mailing address
5504 Menaul Blvd NE Ste M
Albuquerque, NM 87110-3184
Phone (505) 880-8898
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
| License | State | Type | Specialty |
|---|---|---|---|
| 609 | NM | MD | Hearing Instrument Specialist |
Practice roles
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- Albuquerque, NM
- NPI 1891074191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1376039008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 MENAUL BLVD NE STE M",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103184",
"telephone_number": "505-880-8898",
"fax_number": "505-881-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 MENAUL BLVD NE STE M",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103184",
"telephone_number": "505-880-8898",
"fax_number": "505-881-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINIFICK",
"first_name": "KURT",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.