Active NPI
Ken S Suso, BSC,HIS,OTO TECH
- Hearing Instrument Specialist
- Sachse, TX
National Provider Identifier
1558684142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80384
- Practice address
- 5250 Highway 78
Ste 750-453
Sachse, TX 75048-4252 - Phone
- (469) 879-8834
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 80384 | TX | Primary |
Addresses
Primary practice location
5250 Highway 78
Ste 750-453
Sachse, TX 75048-4252
Mailing address
7226 Hillshire LN
Sachse, TX 75048-5646
Phone (469) 361-1257
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 |
|---|---|---|---|
| 80384 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameri-Tex | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Sachse, TX
- NPI 1083915961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1558684142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7226 HILLSHIRE LN",
"city": "SACHSE",
"state": "TX",
"postal_code": "750485646",
"telephone_number": "469-361-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 HIGHWAY 78",
"address_2": "STE 750-453",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484252",
"telephone_number": "469-879-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSO",
"first_name": "KEN",
"middle_name": "S",
"credential": "BSC,HIS,OTO TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.