Individual provider Active NPI

Tyler Milrany, AU.D

  • Audiologist
  • Fort Worth, TX
National Provider Identifier
1639444763
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80612 Issued in TX
Practice address
400 S Henderson St
Fort Worth, TX 76104-1017
Phone
(817) 335-2583
Fax
(817) 335-2597
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80612 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80612 TX

Addresses

Primary practice location

400 S Henderson St
Fort Worth, TX 76104-1017

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

211 N Anglin St
Cleburne, TX 76031-4134
Phone (817) 645-5565

Other practice location 2

14902 Preston Rd Ste 604
Dallas, TX 75254-6841
Phone (972) 702-8373

Other practice location 3

4700 Kmart Drive
Wichita Falls, TX 76308-4536
Phone (940) 689-9970

Other practice location 4

621 SW Johnson Ave Ste A
Burleson, TX 76028-5834
Phone (817) 447-7930

Other practice location 5

5512 Bellaire Dr S Ste K
Fort Worth, TX 76109-5800
Phone (817) 546-0514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000942 TX Practitioner - Qualified Audiologist 4183866585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80495TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Jones Hearing Centers, Inc Audiologist CurrentSince Jun 30, 2012 Accepting new patients
Jack Jones Hearing Centers, Inc. Audiologist CurrentSince Jun 30, 2012 Accepting new patients
Jack Jones Hearing Center, Inc Audiologist Past Accepting new patients

Locations

750 N Commons Dr
Ste 200
Aurora, IL 60504

215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279

3201 Bee Caves Rd
Ste 146
Austin, TX 78746
Phone (512) 327-8845

621 SW Johnson Ave
Ste A
Burleson, TX 76028
Phone (817) 447-7930

211 N Anglin St
Cleburne, TX 76031
Phone (817) 645-5565

14902 Preston Rd
Ste 604
Dallas, TX 75254
Phone (972) 702-8373

5512 Bellaire Dr S
Ste K
Fort Worth, TX 76109
Phone (817) 546-0514

400 S Henderson St
Ft Worth, TX 76104
Phone (817) 335-2583

2409 W Stan Schlueter Loop
Ste 200
Killeen, TX 76549
Phone (254) 680-4327

3937 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9737

3220 Gus Thomasson Rd
Ste 356
Mesquite, TX 75150
Phone (972) 613-4182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1639444763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "817-335-2583",
            "fax_number": "817-335-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Anglin St",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760314134",
            "country_code": "US",
            "telephone_number": "817-645-5565",
            "fax_number": "817-641-3679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14902 Preston Rd Ste 604",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752546841",
            "country_code": "US",
            "telephone_number": "972-702-8373",
            "fax_number": "972-702-9173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Kmart Drive",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763084536",
            "country_code": "US",
            "telephone_number": "940-689-9970",
            "fax_number": "940-689-9967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 SW Johnson Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760285834",
            "country_code": "US",
            "telephone_number": "817-447-7930",
            "fax_number": "817-447-7961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5512 Bellaire Dr S Ste K",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761095800",
            "country_code": "US",
            "telephone_number": "817-546-0514",
            "fax_number": "817-546-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILRANY",
        "first_name": "TYLER",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80612",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.