Organization Active NPI

Personal Hearing Solutions

Doing business as Kenwood Hearing Center

  • Hearing Aid Equipment
  • Fairfield, CA
National Provider Identifier
1467847079
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
AU973 Issued in CA
Legal business name
PERSONAL HEARING SOLUTIONS
Doing business as
Kenwood Hearing Center
Practice address
1261 Travis Blvd Ste 140
Fairfield, CA 94533-4800
Phone
(707) 993-4505
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
William S Diles Jr., AUD
Title
President
Phone
(707) 538-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X AU973 CA Primary

Addresses

Primary practice location

1261 Travis Blvd Ste 140
Fairfield, CA 94533-4800

Mailing address

1261 Travis Blvd Ste 140
Fairfield, CA 94533-4800
Phone (707) 993-4505

Other names 1

  • Kenwood Hearing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000871 CA Part B Supplier - Clinic/Group Practice 4284716267 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfield, CA; Santa Rosa, CA; Petaluma, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1467847079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 140",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800",
            "telephone_number": "707-993-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 140",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800",
            "telephone_number": "707-993-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEARING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "DILES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-538-1000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CA",
            "license": "AU973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.