Active NPI
Daksha K. Kalies, AU.D.
- Audiologist
- Aransas Pass, TX
National Provider Identifier
1417950338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51116
- Practice address
- 1016 S Commercial St
Aransas Pass, TX 78336-5306 - Phone
- (361) 758-0376
- Fax
- (361) 758-0378
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51116 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 90679 | TX |
Addresses
Primary practice location
1016 S Commercial St
Aransas Pass, TX 78336-5306
Mailing address
PO Box 611
Aransas Pass, TX 78335-0611
Phone (361) 758-0376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528449 | Other | TX | BCBS NUMBER |
| 022391902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1016 S Commercial St
Aransas Pass, TX 78336-5306
Phone (361) 758-0376
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51116 | TX | MD | Audiologist |
| 90679 | TX | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Hearing Clinic, LLC | Audiologist | Current | Accepting new patients |
Locations
201 W Wilson Ave
Aransas Pass, TX 78336
Phone (361) 758-0377
1016 S Commercial St
Aransas Pass, TX 78336
Phone (361) 758-0376
Organizations & group practices 1
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.
-
- Audiologist
- Aransas Pass, TX
- NPI 1972790236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1417950338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783350611",
"telephone_number": "361-758-0376",
"fax_number": "361-758-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S COMMERCIAL ST",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783365306",
"telephone_number": "361-758-0376",
"fax_number": "361-758-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIES",
"first_name": "DAKSHA",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51116",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "90679",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "528449",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022391902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aransas Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.