Organization Active NPI

Wayne L. Fenton

  • Specialist
  • Houston, TX
National Provider Identifier
1104981901
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
50063 Issued in TX
Legal business name
WAYNE L. FENTON
Practice address
350 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-3397
Phone
(281) 820-9393
Fax
(281) 820-9589
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. Wayne L. Fenton, BC-HIS
Title
Owner
Phone
(281) 820-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 50063 TX Primary

Addresses

Primary practice location

350 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-3397

Mailing address

350 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-3397
Phone (281) 820-9393

Other identifiers 4

IdentifierTypeStateIssuer
0951237OtherTXCIGNA
531372OtherTXBLUE CROSS BLUE SHIELD
3462357OtherTXAETNA
176613101MedicaidTX

Other names 1

  • Hearing Aid & Audio Centers of Texas & Beal Hearing Aid Centers Doing business as

National Provider Directory

National Provider Directory

Locations

3203 FM 1960 Rd W
Houston, TX 77068
Phone (346) 277-6400

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1104981901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E STE 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603397",
            "telephone_number": "281-820-9393",
            "fax_number": "281-820-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E STE 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603397",
            "telephone_number": "281-820-9393",
            "fax_number": "281-820-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE L. FENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-820-9393",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "50063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0951237",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531372",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3462357",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176613101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Aid & Audio Centers of Texas & Beal Hearing Aid Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.