Kenneth E Smith, PHD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2576 Issued in KS

Practice address

20126 Stanton Ave
Suite 205
Castro Valley, CA 94546-5271

Phone

(510) 537-4211

Fax

(510) 537-3345

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1467437541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE",
            "address_2": "SUITE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465271",
            "telephone_number": "510-537-4211",
            "fax_number": "510-537-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE",
            "address_2": "SUITE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465271",
            "telephone_number": "510-537-4211",
            "fax_number": "510-537-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "AU2576",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "HTL8430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "640002892",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jashanpreet Singh
• Navdeep Singh, MD
• Lorraine Sisemore
• Suzanne Gaynor Sloman, PHD
• Kelsey Smith
• R Scott Snyder, M.D.
• Priyanka Soin, M.D.
• Ameya Solanki
• Jeffrey Lee Somersett, LCSW
• Da Song

• Audiologist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.