Active NPI
Kenneth P Thomas, PHD
- Audiologist
- Durham, NC
National Provider Identifier
1487827150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3364
- Practice address
- 4102 N Roxboro Rd
Durham, NC 27704-2122 - Phone
- (919) 595-2000
- Fax
- (919) 595-2190
- NPI assigned
- Apr 2, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3364 | NC | Primary |
Addresses
Primary practice location
4102 N Roxboro Rd
Durham, NC 27704-2122
Mailing address
4102 N Roxboro Rd
Durham, NC 27704-2122
Phone (919) 595-2000
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3364 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1487827150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 N ROXBORO RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042122",
"telephone_number": "919-595-2000",
"fax_number": "919-595-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 N ROXBORO RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042122",
"telephone_number": "919-595-2000",
"fax_number": "919-595-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KENNETH",
"middle_name": "P",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "3364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.