Organization Active NPI

Kirk C Whittlesey

  • Durable Medical Equipment & Medical Supplies
  • Humboldt, IA
National Provider Identifier
1750550653
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1581 Issued in IA
Legal business name
KIRK C WHITTLESEY
Practice address
12 Taft St S
Humboldt, IA 50548-2037
Phone
(515) 332-2950
Fax
(515) 332-4451
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Kirk C Whittlesey, OD
Title
Owner
Phone
(515) 332-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1581 IA Primary

Addresses

Primary practice location

12 Taft St S
Humboldt, IA 50548-2037

Mailing address

12 Taft St S
Humboldt, IA 50548-2037
Phone (515) 332-2950

National Provider Directory

National Provider Directory

Locations

12 Taft St S
Humboldt, IA 50548
Phone (515) 332-2950

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1750550653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037",
            "telephone_number": "515-332-2950",
            "fax_number": "515-332-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037",
            "telephone_number": "515-332-2950",
            "fax_number": "515-332-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK C WHITTLESEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "WHITTLESEY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-332-2950",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.