Maxear, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

50586 Issued in TX

Legal business name

MAXEAR, INC.

Practice address

3971 Highway 71 E
107
Bastrop, TX 78602-5121

Phone

(512) 308-9999

Fax

(512) 308-9998

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard C. Mangiamele, AUDIOPROSTHOLOGIST

Title

Owner/President

Phone

(512) 308-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073611646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786020209",
            "telephone_number": "512-308-9999",
            "fax_number": "512-308-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 HIGHWAY 71 E",
            "address_2": "107",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025121",
            "telephone_number": "512-308-9999",
            "fax_number": "512-308-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGIAMELE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-308-9999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUDIOPROSTHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "50586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.