NPIMap

Organization Active NPI

Ken Kidd Inc Dba Miracle-Ear

  • Hearing Instrument Specialist
  • Kansas City, MO
National Provider Identifier
1679873046
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2007008453 Issued in MO
Legal business name
KEN KIDD INC DBA MIRACLE-EAR
Practice address
1148 W. 103Rd St
Kansas City, MO 64114
Phone
(816) 942-4300
Fax
(816) 942-4302
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Mr. Kennteth Wayne Kidd, H.I.S.
Title
Owner
Phone
(913) 498-0909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 2007008453 MO Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 1345 KS

Addresses

Primary practice location

1148 W. 103Rd St
Kansas City, MO 64114

Mailing address

7410 W 119TH Street
Overland Park, KS 66213
Phone (913) 498-0909

National Provider Directory

National Provider Directory

Locations

1148 W 103rd St
Kansas City, MO 64114
Phone (816) 942-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1679873046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 W 119TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-498-0909",
            "fax_number": "816-942-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W. 103RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-942-4300",
            "fax_number": "816-942-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN KIDD INC DBA MIRACLE-EAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "KENNTETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-498-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2007008453",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.