Individual provider Active NPI

Sean Paul Rose, LHIS

  • Hearing Instrument Specialist
  • Hillsboro, TX
National Provider Identifier
1124191770
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50674 Issued in TX
Practice address
105 E Franklin St
Hillsboro, TX 76645-2137
Phone
(254) 235-3783
Fax
(254) 235-6265
NPI assigned
Nov 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 50674 TX Primary

Addresses

Primary practice location

105 E Franklin St
Hillsboro, TX 76645-2137

Mailing address

105 E Franklin St
Hillsboro, TX 76645-2137
Phone (254) 235-3783

Other identifiers 2

IdentifierTypeStateIssuer
50674OtherTXFITTING AND DISPENSING #
TXV06152OtherTXSTAP VENDOR ID#

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
50674TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124191770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E FRANKLIN ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452137",
            "telephone_number": "254-235-3783",
            "fax_number": "254-235-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E FRANKLIN ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452137",
            "telephone_number": "254-235-3783",
            "fax_number": "254-235-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SEAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LHIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FITTING AND DISPENSING #",
            "identifier": "50674",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAP VENDOR ID#",
            "identifier": "TXV06152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.