NPIMap

Organization Active NPI

Scott & White Clinic

  • Audiologist-Hearing Aid Fitter
  • Temple, TX
National Provider Identifier
1306217484
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
SCOTT & WHITE CLINIC
Practice address
1901 SW H K Dodgen Loop
Blding 300, 5TH Floor, Room 5.401
Temple, TX 76502-1814
Phone
(254) 724-5437
NPI assigned
Oct 14, 2015
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Alice Cantu
Title
System Director, CBS
Phone
(254) 215-9719

Specialties & licenses 1

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

Addresses

Primary practice location

1901 SW H K Dodgen Loop
Blding 300, 5TH Floor, Room 5.401
Temple, TX 76502-1814

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 1

IdentifierTypeStateIssuer
3587636-01MedicaidTX

Other names 1

  • TEMPLE PEDIATRIC AUDIOLOGY Other name

National Provider Directory

National Provider Directory
Tax ID family
Scott and White Clinic21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

1901 SW H K Dodgen Loop
Fl 5
Temple, TX 76502

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1306217484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW H K DODGEN LOOP",
            "address_2": "BLDING 300, 5TH FLOOR, ROOM 5.401",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-724-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, CBS",
        "authorized_official_telephone_number": "254-215-9719"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3587636-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEMPLE PEDIATRIC AUDIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.