Active NPI
David Andrew Paul, AUD
- Audiologist
- Leavenworth, KS
National Provider Identifier
1730531385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2304
- Practice address
- 1001 6TH Ave Ste 105
Leavenworth, KS 66048-3269 - Phone
- (913) 682-1870
- Fax
- (913) 682-1775
- NPI assigned
- Jul 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2016033292 | MO | |
| Audiologist | 231H00000X | 2304 | KS | Primary |
Addresses
Primary practice location
1001 6TH Ave Ste 105
Leavenworth, KS 66048-3269
Mailing address
PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 6TH Ave
Suite 105
Leavenworth, KS 66048-3269
Phone (913) 682-1870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2304 | KS | MD | Registered Dietitian |
| 2016033292 | MO | MD | Audiologist |
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.
-
- Audiologist
- Overland Park, KS
- NPI 1225191315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1730531385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19087",
"city": "LENEXA",
"state": "KS",
"postal_code": "662859087",
"telephone_number": "913-262-5855",
"fax_number": "913-262-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 6TH AVE STE 105",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660483269",
"telephone_number": "913-682-1870",
"fax_number": "913-682-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2016033292",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "2304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.