Individual provider Active NPI

James Clay Mainord, AUD, CCC-A

  • Audiologist
  • Allen, TX
National Provider Identifier
1730256223
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51111 Issued in TX
Practice address
109 Central Expy N
Suite 533
Allen, TX 75013-2645
Phone
(972) 359-7800
Fax
(972) 359-7963
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 51111 TX
Audiologist 231H00000X 51111 TX Primary

Addresses

Primary practice location

109 Central Expy N
Suite 533
Allen, TX 75013-2645

Mailing address

1315 Capstan Dr
Allen, TX 75013-3411
Phone (214) 383-2176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000841 TX Practitioner - Qualified Audiologist 5092869768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Place of Texas, LLCGroup PAC ID 8729132493, 3 clinicians

Practice addresses (Care Compare)

109 Central Expy N
Suite 533
Allen, TX 75013-2641
Phone (972) 359-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Place of Texas, LLC Audiologist CurrentSince Jun 15, 2009 Accepting new patients
Garland Hearing Aid Center, Inc. Audiologist Past Accepting new patients

Locations

109 Central Expy N
Ste 533
Allen, TX 75013
Phone (972) 359-7800

Organizations & group practices 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1730256223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CAPSTAN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133411",
            "telephone_number": "214-383-2176",
            "fax_number": "972-359-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL EXPY N",
            "address_2": "SUITE 533",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132645",
            "telephone_number": "972-359-7800",
            "fax_number": "972-359-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINORD",
        "first_name": "JAMES",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51111",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.