Kevin Nicholas Kock, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

30869 Issued in IA

Practice address

2215 E 52ND St Ste 2
Davenport, IA 52807-2786

Phone

(563) 355-7712

NPI assigned

Jul 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Quad Cities Audiology Consultants, P.C.Group PAC ID 1052206075, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quad Cities Audiology Consultants, P.C.

  • Audiologist
  • Davenport, IA
  • NPI 1982624987

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1730797648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCK",
        "first_name": "KEVIN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "30869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982624987",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill A Kluver, P.T.
• Rick Lee Knepel
• Emily Ann Knight, DO
• Stephen Edward Knoche, ATC
• Cassandra Kay Knott, LBA, BCBA, MA
• Nicole M Koellner
• Radhika Kolla, MD
• Benjamin J Kolner, PA-C
• Christiana Kolosvary
• Jennifer Kolwey, ARNP

• Audiologist in Davenport, IA
• Providers in Davenport, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.

Verify at the official NPI Registry.