Organization Active NPI

Burleson Audiology Clinic PLLC

  • Audiologist-Hearing Aid Fitter
  • Burleson, TX
National Provider Identifier
1831733104
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
BURLESON AUDIOLOGY CLINIC PLLC
Practice address
121 NW Ellison St Ste 101
Burleson, TX 76028-4739
Phone
(817) 764-3077
NPI assigned
Oct 30, 2019
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Heather Dean, AUDNPI 1972881779
Title
Owner
Phone
(817) 764-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

121 NW Ellison St Ste 101
Burleson, TX 76028-4739

Mailing address

121 NW Ellison St Ste 101
Burleson, TX 76028-4782
Phone (817) 764-3077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320000531 TX Part B Supplier - Clinic/Group Practice 2466880760 Receives reassigned benefits from 2 practitioners
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

121 NW Ellison St
Ste 101
Burleson, TX 76028
Phone (817) 405-9469

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1831733104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NW ELLISON ST STE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284782",
            "telephone_number": "817-764-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW ELLISON ST STE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284739",
            "telephone_number": "817-764-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON AUDIOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-764-3077",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.