Beltone Coastal Carolina, LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

5508 Issued in NC

Legal business name

BELTONE COASTAL CAROLINA, LLC

Practice address

58 Physicians Dr
Suite 106
Supply, NC 28462-4215

Phone

(910) 754-5227

Fax

(910) 754-8773

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Rae King, AU.D.NPI 1720057011

Title

President

Phone

(843) 663-4327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Rae King, AU.D.

  • Audiologist
  • North Myrtle Beach, SC
  • NPI 1720057011
  Authorized official Same address or phone

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1659620979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 6TH AVE S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823310",
            "telephone_number": "843-663-4327",
            "fax_number": "843-663-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR",
            "address_2": "SUITE 106",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624215",
            "telephone_number": "910-754-5227",
            "fax_number": "910-754-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTONE COASTAL CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-663-4327",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NC",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Barna, PNP-BC
• Otis Jeffrey Baty, PNP
• Barbara C Bauer, LPC
• Beach Primary Care and Wellness PLLC
• Kirra Beecher
• Sarah Katelyn Bender, MSW, LCSW-A
• Bio-Medical Applications of North Carolina, Inc. (FMC Brunswick County)
• Bowman Place
• Brandon E. Devito, DDS, PLLC (Brunswick Family Dentistry)
• Mikeisha Brannock, RDN

• Hearing Aid Equipment in Supply, NC
• Providers in Supply, NC by specialty
• Hearing Aid Equipment in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.