Active NPI
Deborah Renner Price, AU.D
- Audiologist-Hearing Aid Fitter
- Dallas, TX
National Provider Identifier
1780809715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 90453
- Practice address
- 5462 Glen Lakes Dr
Dallas, TX 75231 - Phone
- (214) 987-4114
- Fax
- (214) 239-9030
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 90453 | TX | Primary |
Addresses
Primary practice location
5462 Glen Lakes Dr
Dallas, TX 75231
Mailing address
5462 Glen Lakes Dr.
Dallas, TX 75231
Phone (214) 987-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90453 | Other | TX | AU.D |
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 |
|---|---|---|---|
| 90453 | TX | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copley Hearing Center LLC Dba Total Hearing Care | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hearing Professional Center | Past | Accepting new patients |
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.
-
- Audiologist
- Dallas, TX
- NPI 1457470361
-
- Audiologist-Hearing Aid Fitter
- Dallas, TX
- NPI 1538537428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1780809715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5462 GLEN LAKES DR.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-987-4114",
"fax_number": "214-239-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5462 GLEN LAKES DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-987-4114",
"fax_number": "214-239-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DEBORAH",
"middle_name": "RENNER",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "90453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AU.D",
"identifier": "90453",
"state": "TX"
}
],
"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 Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.