Individual provider Active NPI

Daksha K. Kalies, AU.D.

  • Audiologist
  • Aransas Pass, TX
National Provider Identifier
1417950338
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51116 Issued in TX
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

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
528449OtherTXBCBS NUMBER
022391902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000523 TX Practitioner - Qualified Audiologist 3375620842 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
51116TXMDAudiologist
90679TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Hearing Clinic, LLC Audiologist CurrentSince Jan 1, 2008 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.

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.

Verify at the official NPI Registry.