Active NPI
Charles E. Hare, M.S., CCCA
- Audiologist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 102183
- Practice address
- 17020 E US Highway 40
Suite 9
Independence, MO 64055-5361 - Phone
- (816) 373-7900
- Fax
- (816) 373-7969
- NPI assigned
- Dec 6, 2006
- Last updated
- Jun 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 102183 | MO | Primary |
Addresses
Primary practice location
17020 E US Highway 40
Suite 9
Independence, MO 64055-5361
Mailing address
17020 E US Highway 40
Suite 9
Independence, MO 64055-5361
Phone (816) 373-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19100061 | Other | MO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Hearing Center LLC | Audiologist | Current | Accepting new patients |
Locations
17020 E US Highway 40
Ste 9
Independence, MO 64055
Phone (816) 373-7900
6528 Raytown Rd
Ste I
Raytown, MO 64133
Phone (816) 353-3358
Interoperability endpoints
- charles.harem.s.ccc-a@direct.tmcmed.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Raytown, MO
- NPI 1770123705
-
dba Jackson County Audiology
- Audiologist
- Independence, MO
- NPI 1225105976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1811056989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17020 E US HIGHWAY 40",
"address_2": "SUITE 9",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555361",
"telephone_number": "816-373-7900",
"fax_number": "816-373-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17020 E US HIGHWAY 40",
"address_2": "SUITE 9",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555361",
"telephone_number": "816-373-7900",
"fax_number": "816-373-7969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "CHARLES",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "M.S., CCCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "102183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "19100061",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.