Individual provider Active NPI

Andrew J Keiner, AU.D.

  • Audiologist
  • West Des Moines, IA
National Provider Identifier
1407280324
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2444 Issued in FL
Practice address
2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266-1308
Phone
(515) 499-8622
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 405 NE
Audiologist 231H00000X AY2444 FL Primary
Audiologist 231H00000X 000762 IA

Addresses

Primary practice location

2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266-1308

Mailing address

2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266-1308
Phone (515) 499-8622

Other practice location 1

1000 W Lincoln Way
Jefferson, IA 50129-1645
Phone (515) 386-2114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, FL, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190228002284 IA Practitioner - Qualified Audiologist 1153660501 Reassigns benefits to 2 organizations
I20201021002197 NE Practitioner - Qualified Audiologist 1153660501 Reassigns benefits to 1 organization
I20210915001511 FL Practitioner - Qualified Audiologist 1153660501 Reassigns benefits to 1 organization
I20240910002486 MO Practitioner - Qualified Audiologist 1153660501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
405NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Clinic of Iowa, PC Audiologist CurrentSince Jul 31, 2023 Accepting new patients
Merit Hearing LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 25, 2016 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

4600 Military Trl
Ste 108
Jupiter, FL 33458
Phone (561) 260-5555

824 US Highway 1
Ste 200
North Palm Beach, FL 33408
Phone (561) 203-0825

3720 N Ankeny Blvd
Ste 103
Ankeny, IA 50023
Phone (515) 639-3775

3434 W Broadway
Ste 100B
Council Bluffs, IA 51501

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

2600 Westown Pkwy
Ste 360
West Des Moines, IA 50266
Phone (515) 267-1800

2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266
Phone (515) 499-8622

16 Hampton Village Plz
Ste 276
Saint Louis, MO 63109
Phone (314) 530-5873

9015 Arbor St
Ste 118
Omaha, NE 68124
Phone (402) 943-8990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1407280324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 WESTOWN PKWY",
            "address_2": "STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661308",
            "telephone_number": "515-499-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 WESTOWN PKWY",
            "address_2": "STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661308",
            "telephone_number": "515-499-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "IA",
            "postal_code": "501291645",
            "country_code": "US",
            "telephone_number": "515-386-2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEINER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "405",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2444",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "000762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.