Active NPI
Daniel Thomas Whitby
- Hearing Instrument Specialist
- Fort Worth, TX
National Provider Identifier
1154352490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 50702
- Practice address
- 5800 Camp Bowie Blvd
Suite 126
Fort Worth, TX 76107-5057 - Phone
- (817) 870-2500
- Fax
- (817) 870-1382
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 50702 | TX | Primary |
Addresses
Primary practice location
5800 Camp Bowie Blvd
Suite 126
Fort Worth, TX 76107-5057
Mailing address
7920 Wyoming Blvd NE
Ste a
Albuquerque, NM 87109-6020
Phone (505) 821-6715
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50702 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1154352490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 WYOMING BLVD NE",
"address_2": "STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096020",
"telephone_number": "505-821-6715",
"fax_number": "505-821-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 CAMP BOWIE BLVD",
"address_2": "SUITE 126",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075057",
"telephone_number": "817-870-2500",
"fax_number": "817-870-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITBY",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.