Audiological Services of Cadillac

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

AUDIOLOGICAL SERVICES OF CADILLAC

Practice address

8872 Professional Dr
Suite a
Cadillac, MI 49601-8481

Phone

(231) 779-6260

Fax

(231) 779-6264

NPI assigned

Dec 10, 2014

Organization subpart

No

Name

Mr. Robert J Kendell, D.O.

Title

Owner

Phone

(231) 779-6260

• Audiological Services of Cadillac Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2014.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1609274455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "address_2": "SUITE A",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-779-6260",
            "fax_number": "231-779-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "address_2": "SUITE A",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-779-6260",
            "fax_number": "231-779-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGICAL SERVICES OF CADILLAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "KENDELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-779-6260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548562978",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiological Services of Cadillac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cadillac, MI
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.