Active NPI
Michael Dewitt Kiihnl, O.D.
- Optometrist
- Searcy, AR
National Provider Identifier
1972571289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2295
- Practice address
- 707 Marion St
Searcy, AR 72143-4833 - Phone
- (501) 268-1818
- Fax
- (501) 268-1894
- NPI assigned
- Mar 10, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2295 | AR | Primary |
Addresses
Primary practice location
707 Marion St
Searcy, AR 72143-4833
Mailing address
707 Marion St
Searcy, AR 72143-4833
Phone (501) 268-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106539722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- kiihnl.michael.002.0040017@kec.meditab.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1972571289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 MARION ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434833",
"telephone_number": "501-268-1818",
"fax_number": "501-268-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 MARION ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434833",
"telephone_number": "501-268-1818",
"fax_number": "501-268-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIIHNL",
"first_name": "MICHAEL",
"middle_name": "DEWITT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106539722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.