NPIMap

Organization Active NPI

Northeast San Antonio Hearing and Balance,LLC

  • Hearing Aid Equipment
  • Live Oak, TX
National Provider Identifier
1508006701
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
50555 Issued in TX
Legal business name
NORTHEAST SAN ANTONIO HEARING AND BALANCE,LLC
Practice address
12413 Judson Rd
Suite 200
Live Oak, TX 78233-3202
Phone
(210) 653-1722
Fax
(210) 653-1742
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mrs. Deborah L Taylor
Title
General Manager
Phone
(210) 653-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 50555 TX Primary

Addresses

Primary practice location

12413 Judson Rd
Suite 200
Live Oak, TX 78233-3202

Mailing address

12413 Judson Rd
Suite 200
Live Oak, TX 78233-3202
Phone (210) 653-1722

Other identifiers 1

IdentifierTypeStateIssuer
1761140MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1508006701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD",
            "address_2": "SUITE 200",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333202",
            "telephone_number": "210-653-1722",
            "fax_number": "210-653-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD",
            "address_2": "SUITE 200",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333202",
            "telephone_number": "210-653-1722",
            "fax_number": "210-653-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SAN ANTONIO HEARING AND BALANCE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "210-653-1722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TX",
            "license": "50555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1761140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.