Active NPI
Ivonne G Perez-Cervantes, AUD
- Audiologist
- Dallas, TX
National Provider Identifier
1689989915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80239
- Practice address
- 1966 Inwood Rd.
Dallas, TX 75235-7298 - Phone
- (214) 905-3000
- Fax
- (214) 905-3022
- NPI assigned
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80239 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 80239 | TX |
Addresses
Primary practice location
1966 Inwood Rd.
Dallas, TX 75235-7298
Mailing address
1966 Inwood Rd.
Dallas, TX 75235-7298
Phone (214) 905-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021184901 | Medicaid | TX | |
| 215357905 | Medicaid | TX | |
| 1336198894 | Other | GROUP NPI NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80239 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1689989915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 INWOOD RD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357298",
"telephone_number": "214-905-3000",
"fax_number": "214-905-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1966 INWOOD RD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357298",
"telephone_number": "214-905-3000",
"fax_number": "214-905-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-CERVANTES",
"first_name": "IVONNE",
"middle_name": "G",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80239",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80239",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021184901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215357905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1336198894",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.