Jordan R. King, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81643 Issued in TX

Practice address

1780 W McDermott Dr Ste 200
Allen, TX 75013-3363

Phone

(972) 733-3344

Fax

(972) 733-3852

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jordan Lindley Russell Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Tennessee, HSC, College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Hearing Center, LLCGroup PAC ID 4880912419, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Hearing Center, LLC

  dba Advanced Hearing & Balance Center

  • Audiologist
  • Allen, TX
  • NPI 1174938633
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1962180141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133363",
            "telephone_number": "972-733-3344",
            "fax_number": "972-733-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133363",
            "telephone_number": "972-733-3344",
            "fax_number": "972-733-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JORDAN",
        "middle_name": "R.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81643",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "RUSSELL",
            "middle_name": "LINDLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sylvia Kim
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• Jessica Elaine King, APRN, NP-C
• Becky Sue Kinney Brinkley, PT
• Kira Miller Nutrition & Wellness
• Emily Kirby, LPC, LMHC
• Kirscht Optometry PLLC
• Jennifer Johnson Kitkowski, APRN

• Audiologist in Allen, TX
• Providers in Allen, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.