Active NPI
Ken A Wooten
- Hearing Instrument Specialist
- Overland Park, KS
National Provider Identifier
1497876650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1307
- Practice address
- 7309 W 95TH St
Overland Park, KS 66212-2247 - Phone
- (816) 313-2800
- Fax
- (816) 792-9819
- NPI assigned
- Apr 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1999140394 | MO | |
| Hearing Instrument Specialist | 237700000X | 1307 | KS | Primary |
Addresses
Primary practice location
7309 W 95TH St
Overland Park, KS 66212-2247
Mailing address
6 Victory Dr
Liberty, MO 64068-1973
Phone (816) 313-2800
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 |
|---|---|---|---|
| 1307 | KS | MD | Hearing Instrument Specialist |
| 1999140394 | MO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1497876650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VICTORY DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681973",
"telephone_number": "816-313-2800",
"fax_number": "816-792-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 W 95TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122247",
"telephone_number": "816-313-2800",
"fax_number": "816-792-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "KEN",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "1999140394",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KS",
"license": "1307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.