Individual provider Active NPI

Jesus Rangel, A.C.A., BC-H.I.S.

  • Hearing Instrument Specialist
  • Longview, TX
National Provider Identifier
1003933649
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50606 Issued in TX
Practice address
1407 Lago TRL Ste 100
Longview, TX 75604-2740
Phone
(903) 247-3444
Fax
(903) 247-3853
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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 1164 LA
Hearing Instrument Specialist 237700000X 50606 TX Primary

Addresses

Primary practice location

1407 Lago TRL Ste 100
Longview, TX 75604-2740

Mailing address

925 W Loop 281
Longview, TX 75604-2918
Phone (903) 247-3444

Other identifiers 3

IdentifierTypeStateIssuer
610593600OtherTXDOL-OWCP (WORKERS COMP)
1762338-01MedicaidTX
531646OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50606TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beltone Hearing Aid Center PastSince Sep 23, 2021 Accepting new patients

Networks

  • NM HMO C-SNP
  • MS PPO
  • TX HMO
  • MS PPO C-SNP
  • MS PPO D-SNP
  • TX HMO D-SNP

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1003933649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042918",
            "telephone_number": "903-247-3444",
            "fax_number": "903-247-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 LAGO TRL STE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042740",
            "telephone_number": "903-247-3444",
            "fax_number": "903-247-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "JESUS",
        "credential": "A.C.A., BC-H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "LA",
            "license": "1164",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL-OWCP (WORKERS COMP)",
            "identifier": "610593600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762338-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531646",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.