Individual provider Active NPI

Dallas Rose Innis, AUD

  • Audiologist
  • Spring, TX
National Provider Identifier
1720896129
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81923 Issued in TX
Practice address
18551 Champion Forest Dr Ste 101
Spring, TX 77379-5583
Phone
(281) 444-9800
Fax
(281) 257-1594
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 81923 TX
Audiologist 231H00000X 81923 TX Primary

Addresses

Primary practice location

18551 Champion Forest Dr Ste 101
Spring, TX 77379-5583

Mailing address

18551 Champion Forest Dr Ste 101
Spring, TX 77379-5583
Phone (281) 444-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250416003335 CA Practitioner - Qualified Audiologist 8729503297 Reassigns benefits to 1 organization
I20260210004067 TX Practitioner - Qualified Audiologist 8729503297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Houston Hearing Solutions, L.L.C.Group PAC ID 0143398743, 2 clinicians

Practice addresses (Care Compare)

18551 Champion Forest Dr
Suite 101
Spring, TX 77379-5583
Phone (281) 444-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81923TXMDProfessional Counselor
3988CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Feb 24, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 24, 2025 Accepting new patients
North Houston Hearing Solutions, L.L.C. Audiologist CurrentSince Jan 4, 2026 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Mobile Hearing Center LLC Audiologist-Hearing Aid Fitter CurrentSince Jan 4, 2026 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1761 Broadway St
Vallejo, CA 94589
Phone (707) 645-2700

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

18551 Champion Forest Dr
Ste 101
Spring, TX 77379
Phone (281) 444-9800

Organizations & group practices 5

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1720896129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18551 CHAMPION FOREST DR STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795583",
            "telephone_number": "281-444-9800",
            "fax_number": "281-257-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18551 CHAMPION FOREST DR STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795583",
            "telephone_number": "281-444-9800",
            "fax_number": "281-257-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNIS",
        "first_name": "DALLAS",
        "middle_name": "ROSE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81923",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.