Organization Active NPI

Charles W Beatty Jr

Doing business as Beatty Audiology and Hearing Aids

  • Audiologist-Hearing Aid Fitter
  • Longview, TX
National Provider Identifier
1639304363
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
50322 Issued in TX
Legal business name
CHARLES W BEATTY JR
Doing business as
Beatty Audiology and Hearing Aids
Practice address
102 Terese Dr
Longview, TX 75605-6156
Phone
(903) 757-4083
Fax
(903) 757-4083
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Charles BeattyNPI 1972653020
Title
Owner/Provider
Phone
(903) 757-4083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 50322 TX Primary

Addresses

Primary practice location

102 Terese Dr
Longview, TX 75605-6156

Mailing address

1101 Pegues PL
Longview, TX 75601-4031
Phone (903) 757-4083

Other names 1

  • Beatty Audiology and Hearing Aids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beatty Audiology and Hearing AIDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Pegues Pl
Longview, TX 75601
Phone (903) 757-4083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1639304363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014031",
            "telephone_number": "903-757-4083",
            "fax_number": "903-757-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TERESE DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756056156",
            "telephone_number": "903-757-4083",
            "fax_number": "903-757-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W BEATTY JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-757-4083"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beatty Audiology and Hearing Aids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.