Active NPI
Angelo John Kanelidis, H.A.S.
- Hearing Instrument Specialist
- Boca Raton, FL
National Provider Identifier
1457738866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5034
- Practice address
- 2831 N Federal Hwy Ste 11
Boca Raton, FL 33431-6809 - Phone
- (561) 931-3145
- Fax
- (561) 931-3148
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- No
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 | AS5034 | FL | Primary |
Addresses
Primary practice location
2831 N Federal Hwy Ste 11
Boca Raton, FL 33431-6809
Mailing address
2831 N Federal Hwy Ste 11
Boca Raton, FL 33431-6809
Phone (561) 931-3145
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 |
|---|---|---|---|
| AS5034 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1457738866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 N FEDERAL HWY STE 11",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316809",
"telephone_number": "561-931-3145",
"fax_number": "561-931-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 N FEDERAL HWY STE 11",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316809",
"telephone_number": "561-931-3145",
"fax_number": "561-931-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANELIDIS",
"first_name": "ANGELO",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "H.A.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.