Organization Active NPI

Phelan Hearing Aid Inc

  • Audiologist
  • Beaumont, TX
National Provider Identifier
1477670636
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
56093 Issued in TX
Legal business name
PHELAN HEARING AID INC
Practice address
3195 North St
Beaumont, TX 77702-1419
Phone
(409) 832-9421
Fax
(409) 832-0686
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Mr. James Gorden Phelan, AUD
Title
President Owner
Phone
(409) 832-9421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 56093 TX Primary

Addresses

Primary practice location

3195 North St
Beaumont, TX 77702-1419

Mailing address

3195 North St
Beaumont, TX 77702-1419
Phone (409) 832-9421

Other identifiers 1

IdentifierTypeStateIssuer
022038601MedicaidTX

Other names 1

  • Phelan Hearing Center Other name

National Provider Directory

National Provider Directory

Locations

2261 North St
Beaumont, TX 77701
Phone (409) 832-9421

3195 North St
Beaumont, TX 77702
Phone (409) 832-9421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1477670636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021419",
            "telephone_number": "409-832-9421",
            "fax_number": "409-832-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021419",
            "telephone_number": "409-832-9421",
            "fax_number": "409-832-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELAN HEARING AID INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GORDEN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "409-832-9421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "56093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022038601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelan Hearing Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Phelan Hearing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.