Active NPI
John Louie Miguez, HEARING SPECIALIST
- Hearing Instrument Specialist
- Tyler, TX
National Provider Identifier
1346446952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 50216
- Practice address
- 5100 Old Bullard Rd
Suite a
Tyler, TX 75703-3630 - Phone
- (903) 561-9992
- Fax
- (903) 561-9277
- NPI assigned
- Jun 21, 2007
- 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 | 50216 | TX | Primary |
Addresses
Primary practice location
5100 Old Bullard Rd
Suite a
Tyler, TX 75703-3630
Mailing address
5100 Old Bullard Rd
Ste: a
Tyler, TX 75703-3630
Phone (903) 561-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50216 | Other | TX | HEARING DISPENSER LICENSE |
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 |
|---|---|---|---|
| 50216 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1346446952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 OLD BULLARD RD",
"address_2": "STE: A",
"city": "TYLER",
"state": "TX",
"postal_code": "757033630",
"telephone_number": "903-561-9992",
"fax_number": "903-561-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 OLD BULLARD RD",
"address_2": "SUITE A",
"city": "TYLER",
"state": "TX",
"postal_code": "757033630",
"telephone_number": "903-561-9992",
"fax_number": "903-561-9277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGUEZ",
"first_name": "JOHN",
"middle_name": "LOUIE",
"credential": "HEARING SPECIALIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING DISPENSER LICENSE",
"identifier": "50216",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.