Active NPI
James A Wise, PHD CCC A
- Audiologist
- Shawnee Mission, KS
National Provider Identifier
1548237159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 285
- Practice address
- 9119 W 74TH St Ste 306
Shawnee Mission, KS 66204-2229 - Phone
- (913) 403-0018
- Fax
- (913) 432-3619
- NPI assigned
- Mar 2, 2006
- Last updated
- Oct 27, 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 | 285 | KS | Primary |
Addresses
Primary practice location
9119 W 74TH St Ste 306
Shawnee Mission, KS 66204-2229
Mailing address
7301 Mission Rd Ste 146
Prairie Village, KS 66208-3005
Phone (913) 384-2105
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227760A | Medicaid | KS | |
| CE614 | Other | KS | HEARING AID DISPENSING LI |
| 4254145 | Other | AETNA | |
| CE614 | Other | KS | HEARING AID DISPENSING |
| 640002259 | Other | TRAVELERS MEDICARE | |
| 481106646 | Other | HUMANA | |
| R89345 | Other | COVENTRY |
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 |
|---|---|---|---|
| 285 | KS | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1548237159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 MISSION RD STE 146",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083005",
"telephone_number": "913-384-2105",
"fax_number": "913-384-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 W 74TH ST STE 306",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042229",
"telephone_number": "913-403-0018",
"fax_number": "913-432-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD CCC A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100227760A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSING LI",
"identifier": "CE614",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4254145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSING",
"identifier": "CE614",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "640002259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "481106646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "R89345",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.