Individual provider Active NPI

Chris David Caudle, AUD

  • Audiologist-Hearing Aid Fitter
  • Denton, TX
National Provider Identifier
1215933627
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
50424 Issued in TX
Practice address
2540 Lillian Miller Pkwy
Ste 100
Denton, TX 76210-7214
Phone
(940) 387-0550
Fax
(940) 387-0663
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50424 TX
Audiologist-Hearing Aid Fitter 237600000X 50424 TX Primary

Addresses

Primary practice location

2540 Lillian Miller Pkwy
Ste 100
Denton, TX 76210-7214

Mailing address

2540 Lillian Miller Pkwy
Ste 100
Denton, TX 76210-7214
Phone (940) 387-0550

Other identifiers 1

IdentifierTypeStateIssuer
199829601MedicaidTX

Other names 1

  • Dr. Chris David Caudle Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
50424TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1215933627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 LILLIAN MILLER PKWY",
            "address_2": "STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107214",
            "telephone_number": "940-387-0550",
            "fax_number": "940-387-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 LILLIAN MILLER PKWY",
            "address_2": "STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107214",
            "telephone_number": "940-387-0550",
            "fax_number": "940-387-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "CHRIS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50424",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199829601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "CAUDLE",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.