Organization Active NPI

Easy Hearing Clinic LLC

  • Audiologist
  • Brainerd, MN
National Provider Identifier
1740387315
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7307 Issued in MN
Legal business name
EASY HEARING CLINIC LLC
Practice address
215 N 3Rd St
Brainerd, MN 56401-3331
Phone
(218) 829-2162
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Mr. Loren Dale Kmett
Title
President
Phone
(218) 829-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 7307 MN Primary

Addresses

Primary practice location

215 N 3Rd St
Brainerd, MN 56401-3331

Mailing address

215 N 3Rd St
Brainerd, MN 56401-3331
Phone (218) 829-2162

Other identifiers 2

IdentifierTypeStateIssuer
161081OtherMNUCARE
96G60EAOtherMNMN BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1265 Highway 10 W
Ste 9
Detroit Lakes, MN 56501
Phone (218) 829-2162

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1740387315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013331",
            "telephone_number": "218-829-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013331",
            "telephone_number": "218-829-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY HEARING CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "KMETT",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-2162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "161081",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS BLUE SHIELD",
            "identifier": "96G60EA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.