Jka5 Maple Grove Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

JKA5 MAPLE GROVE INC

Doing business as

Amdahl Hearing

Practice address

7270 Forestview LN N
225
Maple Grove, MN 55369-5546

Phone

(320) 252-0094

NPI assigned

Jul 29, 2016

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin AmdahlNPI 1972624286

Title

Owner

Phone

(320) 252-0094

Specialties & licenses 1

Addresses

Other names 1

• Amdahl Hearing Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northland Hearing Centers, Inc.

  dba Hear For You

  • Hearing Instrument Specialist
  • West Coxackie, NY
  • NPI 1639402639

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Amdahl, MA

  • Audiologist-Hearing Aid Fitter
  • Saint Cloud, MN
  • NPI 1972624286
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1861945453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 2ND ST S STE 185",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013708",
            "telephone_number": "320-252-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "225",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "320-252-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKA5 MAPLE GROVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "AMDAHL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-252-0094"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amdahl Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Norman Jensen, PH.D.
• Judy M Jensen, D.C.
• Lisa Jensen
• Don Lee Jewell, D.C.
• David Jewison, M.D.
• Joy Johansen
• Johnson Chiropractic Clinic of Maple Grove, Inc
• Alizandra Louise Johnson, LADC
• Anna Shkolnik Johnson, LICSW
• Barbara Johnson

• Audiologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.

Verify at the official NPI Registry.