Active NPI
Roger A Johns, AU.D.
- Audiologist-Hearing Aid Fitter
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 51290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528562ZWGX | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51290 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estes Hearing Products LLC | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Families Who Listen | Past | 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.
-
- Hearing Instrument Specialist
- New Braunfels, TX
- NPI 1376673418
Audiologist-Hearing Aid Fitter
-
- Audiologist
- Austin, TX
- NPI 1982882858
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.