Active NPI
Kenneth H. Wood, BC-HIS
- Hearing Instrument Specialist
- Redding, CA
National Provider Identifier
1841406444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- H.A. 1786
- Practice address
- 1640 Tehama St
Suite B
Redding, CA 96001-1617 - Phone
- (530) 243-7307
- Fax
- (530) 243-1292
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | H.A. 1786 | CA | Primary |
Addresses
Primary practice location
1640 Tehama St
Suite B
Redding, CA 96001-1617
Mailing address
1640 Tehama St
Suite B
Redding, CA 96001-1617
Phone (530) 243-7307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GHA000060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H.A. 1786 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Up-State Hearing Instruments | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Redding, CA
- NPI 1831390764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1841406444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 TEHAMA ST",
"address_2": "SUITE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960011617",
"telephone_number": "530-243-7307",
"fax_number": "530-243-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 TEHAMA ST",
"address_2": "SUITE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960011617",
"telephone_number": "530-243-7307",
"fax_number": "530-243-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KENNETH",
"middle_name": "H.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "H.A. 1786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GHA000060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.