Individual provider Active NPI

Jon Zach Horn

  • Hearing Instrument Specialist
  • Lees Summit, MO
National Provider Identifier
1649640962
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2015023139 Issued in MO
Practice address
431 SW Ward Rd
Lees Summit, MO 64081-2448
Phone
(816) 347-9090
Fax
(816) 347-9092
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2015023139 MO Primary

Addresses

Primary practice location

431 SW Ward Rd
Lees Summit, MO 64081-2448

Mailing address

431 SW Ward Rd
Lees Summit, MO 64081-2448
Phone (816) 347-9090

Other identifiers 1

IdentifierTypeStateIssuer
2015023139OtherMOHEARING AID DISPENSER PERMIT

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

LicenseStateTypeSpecialty
2015023139MOMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1649640962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812448",
            "telephone_number": "816-347-9090",
            "fax_number": "816-347-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812448",
            "telephone_number": "816-347-9090",
            "fax_number": "816-347-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "JON",
        "middle_name": "ZACH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2015023139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER PERMIT",
            "identifier": "2015023139",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.