Individual provider Active NPI

Jerry M Salas, HIS

  • Hearing Instrument Specialist
  • Sugar Land, TX
National Provider Identifier
1407014665
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50711 Issued in TX
Practice address
101 Southwestern Blvd Ste 120
Sugar Land, TX 77478-3548
Phone
(281) 265-1006
Fax
(281) 265-1017
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 990 OK
Hearing Instrument Specialist 237700000X 50711 TX Primary

Addresses

Primary practice location

101 Southwestern Blvd Ste 120
Sugar Land, TX 77478-3548

Mailing address

101 Southwestern Blvd Ste 120
Sugar Land, TX 77478-3548
Phone (281) 265-1006

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

LicenseStateTypeSpecialty
990OKMDMarriage & Family Therapist
50711TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1407014665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783548",
            "telephone_number": "281-265-1006",
            "fax_number": "281-265-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783548",
            "telephone_number": "281-265-1006",
            "fax_number": "281-265-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JERRY",
        "middle_name": "M",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "990",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.