Organization Active NPI

Roger Clark Hearing Centers

  • Hearing Instrument Specialist
  • Odessa, TX
National Provider Identifier
1427700012
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
ROGER CLARK HEARING CENTERS
Doing business as
roger clark hearing centers
Practice address
4555 E University Blvd Ste C7
Odessa, TX 79762-8137
Phone
(432) 444-5200
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Roger Dale Clark, HISNPI 1992976542
Title
Owner
Phone
(806) 317-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

4555 E University Blvd Ste C7
Odessa, TX 79762-8137

Mailing address

4555 E University Blvd Ste C7
Odessa, TX 79762-8137
Phone (432) 444-5200

Other identifiers 2

IdentifierTypeStateIssuer
80214OtherTXHEARING INSTRUMENT SPECIALIST
80241OtherTXHEARING INSTRUMENT SPECIALIST

Other names 1

  • roger clark hearing centers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1427700012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E UNIVERSITY BLVD STE C7",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628137",
            "telephone_number": "432-444-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E UNIVERSITY BLVD STE C7",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628137",
            "telephone_number": "432-444-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER CLARK HEARING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-317-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT SPECIALIST",
            "identifier": "80214",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT SPECIALIST",
            "identifier": "80241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "roger clark hearing centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.