Individual provider Active NPI

Gloria L Buckley, AU.D., CCC-A

  • Audiologist
  • Dallas, TX
National Provider Identifier
1528184983
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50332 Issued in TX
Practice address
4130 Abrams Rd
Dallas, TX 75214-2607
Phone
(214) 827-1900
Fax
(214) 821-8106
NPI assigned
Mar 21, 2007
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50332 TX Primary

Addresses

Primary practice location

4130 Abrams Rd
Dallas, TX 75214-2607

Mailing address

4130 Abrams Rd
Dallas, TX 75214-2607
Phone (214) 827-1900

Other practice location 1

5462 Glen Lakes Dr
Dallas, TX 75231-4308
Phone (214) 987-4114

Other identifiers 1

IdentifierTypeStateIssuer
204082382OtherTXTAX ID #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
50332TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Ear, Nose & Throat Center PA PastSince Sep 1, 1999 Accepting new patients
Hearing Professional Center Audiologist Past Accepting new patients
Dent Audiology & Hearing AIDS, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5576/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1528184983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142607",
            "telephone_number": "214-827-1900",
            "fax_number": "214-821-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142607",
            "telephone_number": "214-827-1900",
            "fax_number": "214-821-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5462 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314308",
            "country_code": "US",
            "telephone_number": "214-987-4114",
            "fax_number": "214-239-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "GLORIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "204082382",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.