Wilbert Ellis McDaniel

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Practice address

4522 Summerhill Rd
Texarkana, TX 75503-2740

Phone

(903) 838-3093

NPI assigned

Nov 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Miracle Ear- Texas, Inc

  • Audiologist-Hearing Aid Fitter
  • Texarkana, TX
  • NPI 1376742965
  NPD (past)
• Billedeaux Hearing Center, LLC

  • Hearing and Speech Clinic/Center
  • Lafayette, LA
  • NPI 1316131808
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1760149355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "373-417-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032740",
            "telephone_number": "903-838-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "WILBERT",
        "middle_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "933915501",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@miracle-earla.com",
            "affiliation": "N",
            "address_1": "4522 Summerhill Rd",
            "city": "Texarkana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "755032740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark McCrary, M.D.
• Elizabeth Kate McCulley, MS LPC
• William T McCullough, M.D.
• Arwen McDaniel
• Sydney McDaniel
• Mia Adams McDougal, D.C.
• Kailey Anna McDowell, RBT
• Kaylee Ann McDowell
• Sydney Anne McElhany, OTR
• Tara Marie McElroy, NP-C

• Hearing Instrument Specialist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.