Individual provider Active NPI

Kenneth Charles Bennett

  • Prosthetic/Orthotic Supplier
  • Battle Creek, MI
National Provider Identifier
1427234947
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
68 Michigan Ave E
Battle Creek, MI 49017-4011
Phone
(269) 962-8729
Fax
(269) 962-9924
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

68 Michigan Ave E
Battle Creek, MI 49017-4011

Mailing address

68 Michigan Ave E
Battle Creek, MI 49017-4011
Phone (269) 962-8729

Other names 1

  • Mrs. Joan M Marshall Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1427234947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MICHIGAN AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490174011",
            "telephone_number": "269-962-8729",
            "fax_number": "269-962-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MICHIGAN AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490174011",
            "telephone_number": "269-962-8729",
            "fax_number": "269-962-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "MARSHALL",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "CMF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.