NPIMap

Organization Active NPI

Czop Inc

Doing business as dba Avada Audiology & Hearing Care

  • Hearing Instrument Specialist
  • Tyler, TX
National Provider Identifier
1063422194
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50630 Issued in TX
Legal business name
CZOP INC
Doing business as
dba Avada Audiology & Hearing Care
Practice address
844 S. Fleishel Ave.
Tyler, TX 75701-2042
Phone
(903) 595-1811
Fax
(903) 595-2809
NPI assigned
Aug 9, 2006
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mr. Christopher Mark Czop
Title
Regional Director
Phone
(903) 595-1811

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 50653 TX
Hearing Instrument Specialist 237700000X 50636 TX
Hearing Instrument Specialist 237700000X 50685 TX
Hearing Instrument Specialist 237700000X 50630 TX Primary

Addresses

Primary practice location

844 S. Fleishel Ave.
Tyler, TX 75701-2042

Mailing address

844 S. Fleishel Ave.
Tyler, TX 75701-2042
Phone (903) 595-1811

Other identifiers 3

IdentifierTypeStateIssuer
516539OtherTXBCBS PROVIDER NUMBER
0085MEOtherTXBCBS FACILITY NUMBER
022136801MedicaidTX

Other names 1

  • dba Avada Audiology & Hearing Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1063422194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S. FLEISHEL AVE.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012042",
            "telephone_number": "903-595-1811",
            "fax_number": "903-595-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S. FLEISHEL AVE.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012042",
            "telephone_number": "903-595-1811",
            "fax_number": "903-595-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CZOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "CZOP",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "903-595-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50653",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50636",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50685",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "516539",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY NUMBER",
            "identifier": "0085ME",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022136801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Avada Audiology & Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.