Active NPI
John W Dudley, HEARING AID DEPT
- Hearing Instrument Specialist
- Corpus Christi, TX
National Provider Identifier
1508990151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 50314
- Practice address
- 6040 S Padre Island Dr
Corpus Christi, TX 78412-3922 - Phone
- (361) 991-5360
- Fax
- (361) 980-8361
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 50314 | TX | Primary |
Addresses
Primary practice location
6040 S Padre Island Dr
Corpus Christi, TX 78412-3922
Mailing address
6040 S Padre Island Dr
Corpus Christi, TX 78412-3922
Phone (361) 991-5360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508990151 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50314 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1508990151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123922",
"telephone_number": "361-991-5360",
"fax_number": "361-980-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123922",
"telephone_number": "361-991-5360",
"fax_number": "361-980-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "HEARING AID DEPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508990151",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.