Individual provider Active NPI

Weston Michael Kofford, NBC-HIS

  • Hearing Instrument Specialist
  • Gunnison, UT
National Provider Identifier
1437616182
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
9674125-4601 Issued in UT
Practice address
38 West Center Street Gunnison, Ut 84634
Gunnison, UT 84634-7710
Phone
(888) 230-0875
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 9674125-4601 UT Primary

Addresses

Primary practice location

38 West Center Street Gunnison, Ut 84634
Gunnison, UT 84634-7710

Mailing address

8941 S 700 E Ste 204
Sandy, UT 84070-2402
Phone (732) 688-6486

Other practice location 1

4778 N 300 W Ste 220
Provo, UT 84604-7710
Phone (888) 230-0875

Other identifiers 1

IdentifierTypeStateIssuer
96374125-4601OtherUTSTATE HEARING AID DISPENSER LICENSE

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

LicenseStateTypeSpecialty
9674125-4601UTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
My Hearing Centers, LLC Hearing Instrument Specialist Past Accepting new patients
My Hearing Centers, LLC PastSince Sep 5, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1437616182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 S 700 E STE 204",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702402",
            "telephone_number": "732-688-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WEST CENTER STREET GUNNISON, UT 84634",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846347710",
            "telephone_number": "888-230-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4778 N 300 W Ste 220",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846047710",
            "country_code": "US",
            "telephone_number": "888-230-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFFORD",
        "first_name": "WESTON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NBC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "UT",
            "license": "9674125-4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEARING AID DISPENSER LICENSE",
            "identifier": "96374125-4601",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.