Individual provider Active NPI

Ken C Njenga, AU.D

  • Audiologist
  • Safford, AZ
National Provider Identifier
1942869508
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA12645 Issued in AZ
Practice address
1491 W Thatcher Blvd Ste 107
Safford, AZ 85546-3431
Phone
(928) 428-1613
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA12645 AZ Primary

Addresses

Primary practice location

1491 W Thatcher Blvd Ste 107
Safford, AZ 85546-3431

Mailing address

2600 S White Mountain Rd
Show Low, AZ 85901-0511
Phone (928) 537-3456

Other practice location 1

2600 S White Mountain Rd
Show Low, AZ 85901-0511
Phone (928) 537-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004003004 AZ Practitioner - Qualified Audiologist 9133527252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology, Inc.Group PAC ID 0345315453, 4 clinicians

Practice addresses (Care Compare)

2600 S White Mountain Rd
Show Low, AZ 85901-0511
Phone (928) 537-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA12645AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology, Inc. Audiologist CurrentSince Sep 27, 2021 Accepting new patients
Arizona Hearcare Network, Inc Audiologist-Hearing Aid Fitter PastSince Sep 27, 2021 Accepting new patients
Wendy Gallegos, M.a. LLC Audiologist PastSince Dec 22, 2019 Accepting new patients

Locations

1491 W Thatcher Blvd
Ste 107
Safford, AZ 85546
Phone (928) 428-1613

2600 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 428-1613

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1942869508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859010511",
            "telephone_number": "928-537-3456",
            "fax_number": "928-537-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 W THATCHER BLVD STE 107",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463431",
            "telephone_number": "928-428-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 S WHITE MOUNTAIN RD",
            "address_purpose": "LOCATION",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859010511",
            "country_code": "US",
            "telephone_number": "928-537-3456",
            "fax_number": "928-537-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJENGA",
        "first_name": "KEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA12645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.

Verify at the official NPI Registry.