Individual provider Active NPI

Roger A Johns, AU.D.

  • Audiologist-Hearing Aid Fitter
  • San Antonio, TX
National Provider Identifier
1003842014
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
51290 Issued in TX
Practice address
11750 Wurzbach Rd
San Antonio, TX 78230-2712
Phone
(210) 614-6644
Fax
(210) 692-1972
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X TX
Audiologist-Hearing Aid Fitter 237600000X 51290 TX Primary

Addresses

Primary practice location

11750 Wurzbach Rd
San Antonio, TX 78230-2712

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529

Other practice location 1

12315 Judson Rd Ste 210
Live Oak, TX 78233-3264
Phone (210) 656-0327

Other identifiers 1

IdentifierTypeStateIssuer
528562ZWGXOtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000598 TX Practitioner - Qualified Audiologist 5597796243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51290TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Estes Hearing Products LLC Audiologist-Hearing Aid Fitter CurrentSince Sep 4, 2020 Accepting new patients
Families Who Listen PastSince Aug 1, 2009 Accepting new patients

Locations

35 Waterview Blvd
Ste 305
Parsippany, NJ 07054

1206 W 38th St
Ste 3101
Austin, TX 78705
Phone (830) 643-0033

1529 E Common St
New Braunfels, TX 78130
Phone (830) 643-0003

5282 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1003842014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "612-351-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302712",
            "telephone_number": "210-614-6644",
            "fax_number": "210-692-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12315 Judson Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333264",
            "country_code": "US",
            "telephone_number": "210-656-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "528562ZWGX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.