Active NPI
Kyle Joseph Logan, H.I.S.
- Hearing Instrument Specialist
- North Haven, CT
National Provider Identifier
1669009536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 432
- Practice address
- 310 Washington Ave
North Haven, CT 06473-1315 - Phone
- (475) 221-7856
- NPI assigned
- Mar 23, 2020
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 432 | CT | Primary |
Addresses
Primary practice location
310 Washington Ave
North Haven, CT 06473-1315
Mailing address
102 Washington Ave
East Hartford, CT 06118-2655
Phone (860) 810-9614
Other practice location 1
83 Halls Rd
Old Lyme, CT 06371-4409
Phone (475) 221-7856
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klogan@frasierenterprises.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Hearing LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1669009536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WASHINGTON AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061182655",
"telephone_number": "860-810-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WASHINGTON AVE",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064731315",
"telephone_number": "475-221-7856"
}
],
"practiceLocations": [
{
"address_1": "83 Halls Rd",
"address_purpose": "LOCATION",
"city": "Old Lyme",
"state": "CT",
"postal_code": "063714409",
"country_code": "US",
"telephone_number": "475-221-7856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "KYLE",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "H.I.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CT",
"license": "432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klogan@frasierenterprises.com",
"affiliation": "N",
"address_1": "310 Washington Ave",
"city": "North Haven",
"state": "CT",
"country_code": "US",
"postal_code": "064731315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.