Active NPI
Kevin Michael Fire, PH.D.
- Audiologist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 441
- Practice address
- 121 North Washington Street
Grand Forks, ND 58203-3400 - Phone
- (701) 787-5862
- Fax
- (701) 738-2371
- NPI assigned
- Sep 6, 2006
- Last updated
- Oct 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 441 | ND | Primary |
Addresses
Primary practice location
121 North Washington Street
Grand Forks, ND 58203-3400
Mailing address
121 North Washington Street
Grand Forks, ND 58203-3400
Phone (701) 787-5862
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51100 | Medicaid | ND | |
| 1G724FI | Other | MN | BCBS |
| FIR19598 | Other | ND | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 N Washington St
Grand Forks, ND 58203-3400
Phone (701) 787-5862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quotable Kids Pediatric Therapy Clinic, PLLC | Current | Accepting new patients |
Locations
121 N Washington St
Grand Forks, ND 58203
Phone (701) 739-5437
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.
-
dba Fire Audiology & Hearing Center
- Audiologist
- Grand Forks, ND
- NPI 1477715910
-
- Hearing and Speech Clinic/Center
- Grand Forks, ND
- NPI 1376989855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1861595753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NORTH WASHINGTON STREET",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582033400",
"telephone_number": "701-787-5862",
"fax_number": "701-738-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NORTH WASHINGTON STREET",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582033400",
"telephone_number": "701-787-5862",
"fax_number": "701-738-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRE",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ND",
"license": "441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51100",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1G724FI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "FIR19598",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.