Active NPI
Jerry R. Teel, PHD PC
- Audiologist-Hearing Aid Fitter
- Oklahoma City, OK
National Provider Identifier
1629223771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 17
- Legal business name
- JERRY R. TEEL, PHD PC
- Practice address
- 5401 N Portland Ave
Suite 540
Oklahoma City, OK 73112-2121 - Phone
- (405) 659-2902
- Fax
- (405) 951-4901
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry R Teel, PHD
- Title
- Owner
- Phone
- (405) 659-2902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 17 | OK | Primary |
Addresses
Primary practice location
5401 N Portland Ave
Suite 540
Oklahoma City, OK 73112-2121
Mailing address
5401 N Portland Ave
Suite 540
Oklahoma City, OK 73112-2121
Phone (405) 659-2902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1629223771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE",
"address_2": "SUITE 540",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122121",
"telephone_number": "405-659-2902",
"fax_number": "405-951-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE",
"address_2": "SUITE 540",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122121",
"telephone_number": "405-659-2902",
"fax_number": "405-951-4901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY R. TEEL, PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "TEEL",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-659-2902",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OK",
"license": "17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.