Active NPI
Jerry M Salas, HIS
- Hearing Instrument Specialist
- Sugar Land, TX
National Provider Identifier
1407014665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 50711
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 990 | OK | MD | Marriage & Family Therapist |
| 50711 | TX | MD | Pharmacist 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.