K Kinifick ENT LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

03-221541-00-0 Issued in NM

Legal business name

K KINIFICK ENT LLC

Practice address

6600 Menaul Blvd NE Ste 700 (Inside Sears)
Miracle Ear Hearing
Albuquerque, NM 87110

Phone

(505) 880-8898

Fax

(505) 881-4952

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By 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

Kurt KinifickNPI 1376039008

Title

Own/MGR

Phone

(505) 880-8898

Specialties & licenses 1

Addresses

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.

• Kurt Richard Kinifick

  • Hearing Instrument Specialist
  • Albuquerque, NM
  • NPI 1376039008
  Authorized official Same address or phone

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1891074191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 SIGNAL AVENUE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-880-8898",
            "fax_number": "505-881-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MENAUL BLVD NE STE 700 (INSIDE SEARS)",
            "address_2": "MIRACLE EAR HEARING",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-880-8898",
            "fax_number": "505-881-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K KINIFICK ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "KINIFICK",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWN/MGR",
        "authorized_official_telephone_number": "505-880-8898"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NM",
            "license": "03-221541-00-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Aid Equipment in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Hearing Aid Equipment in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.