Active NPI
Phelan Hearing Aid Inc
- Audiologist
- Beaumont, TX
National Provider Identifier
1477670636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 56093
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022038601 | Medicaid | TX |
Other names 1
- Phelan Hearing Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Beaumont, TX
- NPI 1578749800
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.