Active NPI
Medical Edge Healthcare Group PA
- Audiologist-Hearing Aid Fitter
- Benbrook, TX
National Provider Identifier
1265470215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- MEDICAL EDGE HEALTHCARE GROUP PA
- Practice address
- 6410 Southwest Blvd Ste 220
Benbrook, TX 76109-3920 - Phone
- (817) 377-9100
- NPI assigned
- Jun 3, 2006
- Last updated
- Dec 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clay M. Heighten, M.D.
- Title
- President
- Phone
- (972) 739-3001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
6410 Southwest Blvd Ste 220
Benbrook, TX 76109-3920
Mailing address
9229 LBJ Fwy
Suite 250
Dallas, TX 75243-3405
Phone (972) 739-3097
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1154421527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198022400000",
"number": "1265470215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 LBJ FWY",
"address_2": "SUITE 250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433405",
"telephone_number": "972-739-3097",
"fax_number": "972-739-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 SOUTHWEST BLVD STE 220",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761093920",
"telephone_number": "817-377-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-12-19",
"status": "A",
"authorized_official_last_name": "HEIGHTEN",
"authorized_official_first_name": "CLAY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-739-3001",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.