Active NPI
Kennington Hearing & Balance Center
- Audiologist
- Ogden, UT
National Provider Identifier
1619239092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- KENNINGTON HEARING & BALANCE CENTER
- Practice address
- 1100 Country Hills Dr
200
Ogden, UT 84403-2503 - Phone
- (801) 399-5014
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kody D Kennington, AU.D.
- Title
- Dr. of Audiology
- Phone
- (801) 643-7088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
1100 Country Hills Dr
200
Ogden, UT 84403-2503
Mailing address
985 W 7850 S
Willard, UT 84340-6701
Phone (801) 643-7088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982840716 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otology & Neurotology Physician
- Ogden, UT
- NPI 1528095627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1619239092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 W 7850 S",
"city": "WILLARD",
"state": "UT",
"postal_code": "843406701",
"telephone_number": "801-643-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 COUNTRY HILLS DR",
"address_2": "200",
"city": "OGDEN",
"state": "UT",
"postal_code": "844032503",
"telephone_number": "801-399-5014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNINGTON HEARING & BALANCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "KENNINGTON",
"authorized_official_first_name": "KODY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DR. OF AUDIOLOGY",
"authorized_official_telephone_number": "801-643-7088",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982840716",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.