Active NPI
Burleson Audiology Clinic PLLC
- Audiologist-Hearing Aid Fitter
- Burleson, TX
National Provider Identifier
1831733104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Dean, AUD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Burleson, TX
- NPI 1972881779
-
- Audiologist
- Burleson, TX
- NPI 1013318179
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.