Active NPI
Joseph E Kundrot
- Hearing Instrument Specialist
- West Melbourne, FL
National Provider Identifier
1407410954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS4997
- Practice address
- 2243 W New Haven Ave Ste 102
West Melbourne, FL 32904-3832 - Phone
- (321) 354-9207
- Fax
- (321) 586-2226
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | AS4997 | FL | Primary |
Addresses
Primary practice location
2243 W New Haven Ave Ste 102
West Melbourne, FL 32904-3832
Mailing address
2243 W New Haven Ave Ste 102
West Melbourne, FL 32904-3832
Phone (321) 354-9207
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 |
|---|---|---|---|
| AS4997 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients | |
| Lifestyle Hearing Corporation USA Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1407410954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 W NEW HAVEN AVE STE 102",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329043832",
"telephone_number": "321-354-9207",
"fax_number": "321-586-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 W NEW HAVEN AVE STE 102",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329043832",
"telephone_number": "321-354-9207",
"fax_number": "321-586-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNDROT",
"first_name": "JOSEPH",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS4997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.