Active NPI
Deanne Wheeler, H. I. S.
- Hearing Instrument Specialist
- Canton, TX
National Provider Identifier
1396292918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80689
- Practice address
- 150 E. Dallas Street
Canton, TX 75103 - Phone
- (903) 567-0028
- Fax
- (903) 567-0029
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 11328 | TX | |
| Hearing Instrument Specialist | 237700000X | 80689 | TX | Primary |
Addresses
Primary practice location
150 E. Dallas Street
Canton, TX 75103
Mailing address
2230 W. Grande Blvd., Suite 100
Tyler, TX 75703
Phone (903) 567-0028
Other names 1
- Marilyn Deanne Wheeler
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 |
|---|---|---|---|
| 80689 | TX | MD | Professional Counselor |
| 11328 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.L. Miguez, Inc. | Past | Accepting new patients | |
| J.L. Miguez, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Mineola, TX
- NPI 1295368470
-
- Hearing Aid Equipment
- Henderson, TX
- NPI 1639529753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1396292918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 W. GRANDE BLVD., SUITE 100",
"city": "TYLER",
"state": "TX",
"postal_code": "75703",
"telephone_number": "903-567-0028",
"fax_number": "903-567-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E. DALLAS STREET",
"city": "CANTON",
"state": "TX",
"postal_code": "75103",
"telephone_number": "903-567-0028",
"fax_number": "903-567-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DEANNE",
"credential": "H. I. S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "11328",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "WHEELER",
"middle_name": "DEANNE",
"credential": "H. I. S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.