Individual provider Active NPI

Jimmy Erivez

  • Hearing Instrument Specialist
  • El Paso, TX
National Provider Identifier
1063804672
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80268 Issued in TX
Practice address
750 Sunland Park Dr
El Paso, TX 79912-6709
Phone
(915) 760-8830
Fax
(915) 760-8840
NPI assigned
Feb 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80268 TX Primary

Addresses

Primary practice location

750 Sunland Park Dr
El Paso, TX 79912-6709

Mailing address

1404 S New Rd
Waco, TX 76711-1335
Phone (254) 537-4422

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
80268TXMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1063804672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S NEW RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111335",
            "telephone_number": "254-537-4422",
            "fax_number": "254-300-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SUNLAND PARK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126709",
            "telephone_number": "915-760-8830",
            "fax_number": "915-760-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIVEZ",
        "first_name": "JIMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.