Individual provider Active NPI

Derek Naranjo, HIS

  • Hearing Instrument Specialist
  • Plano, TX
National Provider Identifier
1609354364
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80775 Issued in TX
Practice address
803 E 15TH St
Plano, TX 75074-5805
Phone
(972) 881-4327
Fax
(972) 633-2887
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80775 TX Primary

Addresses

Primary practice location

803 E 15TH St
Plano, TX 75074-5805

Mailing address

803 E 15TH St
Plano, TX 75074-5805
Phone (972) 881-4327

Other identifiers 1

IdentifierTypeStateIssuer
80775OtherTXFITTER & DISPENSER OF HEARING INSTRUMENTS

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

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1609354364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745805",
            "telephone_number": "972-881-4327",
            "fax_number": "972-633-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745805",
            "telephone_number": "972-881-4327",
            "fax_number": "972-633-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "DEREK",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FITTER & DISPENSER OF HEARING INSTRUMENTS",
            "identifier": "80775",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.