Active NPI
Mobile Hearing of Kansas LLC
Doing business as Special Care Hearing
- Audiologist
- Montezuma, KS
National Provider Identifier
1376911768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- MOBILE HEARING OF KANSAS LLC
- Doing business as
- Special Care Hearing
- Practice address
- 300 S Aztec St
Montezuma, KS 67867-8811 - Phone
- (620) 846-2241
- Fax
- (620) 846-2149
- NPI assigned
- Sep 2, 2015
- Last updated
- Aug 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel D Cavenee, AU.D
- Title
- Owner
- Phone
- (855) 259-9183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
300 S Aztec St
Montezuma, KS 67867-8811
Mailing address
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243-1593
Phone (855) 259-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201131680A | Medicaid | KS |
Other names 1
- Special Care Hearing
National Provider Directory
National Provider DirectoryLocations
611 31st St
Wilson, KS 67490
Phone (773) 561-7241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470268800000",
"number": "1376911768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 SHELBYVILLE RD",
"address_2": "STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431593",
"telephone_number": "855-259-9183",
"fax_number": "502-254-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S AZTEC ST",
"city": "MONTEZUMA",
"state": "KS",
"postal_code": "678678811",
"telephone_number": "620-846-2241",
"fax_number": "620-846-2149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE HEARING OF KANSAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2016-08-04",
"status": "A",
"authorized_official_last_name": "CAVENEE",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "855-259-9183",
"authorized_official_credential": "AU.D"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201131680A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Special Care Hearing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montezuma, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.