Active NPI
Keith A Whitcomb, HAD
- Hearing Instrument Specialist
- Cumming, GA
National Provider Identifier
1710285705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000851
- Practice address
- 103 Samaritan Dr
Unit C
Cumming, GA 30040-2465 - Phone
- (770) 888-8017
- NPI assigned
- Mar 1, 2011
- 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 | HADS000851 | GA | Primary |
Addresses
Primary practice location
103 Samaritan Dr
Unit C
Cumming, GA 30040-2465
Mailing address
1001 E. Sunset Road
Unit 96595
Las Vegas, NV 89193-1246
Phone (702) 798-0113
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
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000851 | GA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1710285705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E. SUNSET ROAD",
"address_2": "UNIT 96595",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891931246",
"telephone_number": "702-798-0113",
"fax_number": "866-291-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SAMARITAN DR",
"address_2": "UNIT C",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402465",
"telephone_number": "770-888-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "KEITH",
"middle_name": "A",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.