Kenosha Hearing Aid Centers

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

KENOSHA HEARING AID CENTERS

Practice address

2527 75TH St
Kenosha, WI 53143-1407

Phone

(262) 654-4703

Fax

(262) 654-4703

NPI assigned

Jun 1, 2007

Last updated

Jun 26, 2008By 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

Mr. Kim B Peterson, HIS

Title

President

Phone

(262) 654-4703

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jeff Fernholz, HIS

  • Hearing Instrument Specialist
  • Kenosha, WI
  • NPI 1982932026
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1720280894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431407",
            "telephone_number": "262-654-4703",
            "fax_number": "262-654-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431407",
            "telephone_number": "262-654-4703",
            "fax_number": "262-654-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOSHA HEARING AID CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-654-4703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42857000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing Aid Equipment in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Hearing Aid Equipment in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.