NPIMap

Organization Active NPI

PKC, Inc.

Doing business as Beltone Hearing Aid Center

  • Hearing Instrument Specialist
  • Winter Haven, FL
National Provider Identifier
1700800133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS1699 Issued in FL
Legal business name
PKC, INC.
Doing business as
Beltone Hearing Aid Center
Practice address
490 Avenue K SE
Winter Haven, FL 33880-4125
Phone
(863) 294-8353
Fax
(863) 299-0334
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Joseph Conlon, BC-HISNPI 1457785701
Title
Owner/President
Phone
(863) 698-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS1699 FL Primary

Addresses

Primary practice location

490 Avenue K SE
Winter Haven, FL 33880-4125

Mailing address

490 Avenue K SE
Winter Haven, FL 33880-4125
Phone (863) 294-8353

Other identifiers 1

IdentifierTypeStateIssuer
J0507OtherFLBC/BS INSURANCE

Other names 1

  • Beltone Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory

Locations

490 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-8353

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700800133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804125",
            "telephone_number": "863-294-8353",
            "fax_number": "863-299-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804125",
            "telephone_number": "863-294-8353",
            "fax_number": "863-299-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-698-1822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INSURANCE",
            "identifier": "J0507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.