Organization Active NPI

Kymry Fowler, Inc.

  • Hearing and Speech Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1730615477
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
17425 Issued in CA
Legal business name
KYMRY FOWLER, INC.
Practice address
20122 Santa Ana Ave
7C
Newport Beach, CA 92660-1360
Phone
(949) 374-4868
Fax
(949) 606-8262
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
1957As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Ms. Kymry Hart FowlerNPI 1851647168
Title
Clinical Director
Phone
(949) 374-4868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 17425 CA Primary

Addresses

Primary practice location

20122 Santa Ana Ave
7C
Newport Beach, CA 92660-1360

Mailing address

20122 Santa Ana Ave
7C
Newport Beach, CA 92660-1360
Phone (949) 374-4868

National Provider Directory

National Provider Directory
Part of
Kymry Fowler Inc

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1730615477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE",
            "address_2": "7C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE",
            "address_2": "7C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMRY FOWLER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1957",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KYMRY",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-374-4868",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "17425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.