Active NPI
SD McCormick LLC
- Audiologist-Hearing Aid Fitter
- Irving, TX
National Provider Identifier
1649356288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 20244
- Legal business name
- SD MCCORMICK LLC
- Practice address
- 3401 W Airport Fwy
Suite 106
Irving, TX 75062-5924 - Phone
- (972) 313-2543
- Fax
- (972) 313-2544
- NPI assigned
- Oct 27, 2006
- 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
- Mr. Steve D McCormick
- Title
- Owner MNGR
- Phone
- (972) 313-2543
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 20244 | TX | Primary |
Addresses
Primary practice location
3401 W Airport Fwy
Suite 106
Irving, TX 75062-5924
Mailing address
3401 W Airport Fwy
Suite 106
Irving, TX 75062-5924
Phone (972) 313-2543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199799101 | Medicaid | TX |
Other names 1
- Audibel Hearing Center
National Provider Directory
National Provider DirectoryLocations
3401 W Airport Fwy
Ste 106
Irving, TX 75062
Phone (972) 313-2543
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Irving, TX
- NPI 1215381017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415318400000",
"number": "1649356288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W AIRPORT FWY",
"address_2": "SUITE 106",
"city": "IRVING",
"state": "TX",
"postal_code": "750625924",
"telephone_number": "972-313-2543",
"fax_number": "972-313-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W AIRPORT FWY",
"address_2": "SUITE 106",
"city": "IRVING",
"state": "TX",
"postal_code": "750625924",
"telephone_number": "972-313-2543",
"fax_number": "972-313-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SD MCCORMICK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2014-11-07",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER MNGR",
"authorized_official_telephone_number": "972-313-2543",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "20244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199799101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Audibel Hearing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.