KCD Hearing,LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

15000013721 Issued in NY

Legal business name

KCD HEARING,LLC

Doing business as

Miracle Ear Center

Practice address

123 Pike St
Port Jervis, NY 12771-1824

Phone

(845) 858-8790

NPI assigned

Oct 9, 2013

Last updated

Oct 9, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Danks

Title

Managing Member

Phone

(845) 858-8790

Specialties & licenses 1

Addresses

Other names 1

• Miracle Ear Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1396172284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-858-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-858-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCD HEARING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DANKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-858-8790"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "15000013721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy a. Freeman Psychoanalysis
• Colin B Johnston, DDS
• Daverne Judge, LCSW
• Juliene Mary Saletto
• Walter Ernst Kaufmann, MD
• Alyssa Jennifer Kelly, MS, RD, CDN
• Sandra Loraine Kerr
• Barbara Kilbride, RPH
• Savannah Kniffin, LMSW
• Robin Lynn Koch, LPN

• Hearing Aid Equipment in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Hearing Aid Equipment in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.