Organization Active NPI

Mobile Hearing of Kansas LLC

Doing business as Special Care Hearing

  • Audiologist
  • Montezuma, KS
National Provider Identifier
1376911768
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
201131680AMedicaidKS

Other names 1

  • Special Care Hearing Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.