Kenyon Audiology, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

21288 Issued in OR

Legal business name

KENYON AUDIOLOGY, INC.

Practice address

1625 NE 2ND St
Bend, OR 97701-4046

Phone

(541) 317-1265

Fax

(541) 317-1273

NPI assigned

Sep 23, 2013

Last updated

Jun 19, 2014By 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

Dr. Janet Lee Kenyon, AUDNPI 1720223753

Title

Owner

Phone

(541) 317-1265

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet Lee Kenyon, AUD

  • Audiologist
  • Bend, OR
  • NPI 1720223753
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1417383464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014046",
            "telephone_number": "541-317-1265",
            "fax_number": "541-317-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014046",
            "telephone_number": "541-317-1265",
            "fax_number": "541-317-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYON AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-317-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "21288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064506",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500660066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth M. Shirtcliff D.M.D. P.C. (Greenwood Dental Care)
• Edward Joseph Kent III, MD
• Marina Ashley Kent, RN
• Sarah Loney Kent, PA-C
• Joseph Kentta
• Janet Lee Kenyon, AUD
• Donna Kerley
• Michael Kerr
• Connie J Kersenbrock, LCSW
• Sarah Kersey

• Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.