NPIMap

Organization Active NPI

MTR of Tyler Dba Beltone

  • Hearing Instrument Specialist
  • Tyler, TX
National Provider Identifier
1982765657
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50617 Issued in TX
Legal business name
MTR OF TYLER DBA BELTONE
Practice address
1400 WSW Loop 323 Ste 100
Tyler, TX 75701-7201
Phone
(903) 595-5580
Fax
(903) 526-3882
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Tamara M Roach, B.C.H.I.S.NPI 1003535444
Title
Owner
Phone
(903) 595-5580

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 50617 TX Primary

Addresses

Primary practice location

1400 WSW Loop 323 Ste 100
Tyler, TX 75701-7201

Mailing address

1400 WSW Loop 323 Ste 100
Tyler, TX 75701-7201
Phone (903) 595-5580

National Provider Directory

National Provider Directory

Locations

1400 W Southwest Loop 323
Ste 100
Tyler, TX 75701
Phone (903) 595-5580

1329 S Beckham Ave
Tyler, TX 75701

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1982765657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WSW LOOP 323 STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017201",
            "telephone_number": "903-595-5580",
            "fax_number": "903-526-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WSW LOOP 323 STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017201",
            "telephone_number": "903-595-5580",
            "fax_number": "903-526-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTR OF TYLER DBA BELTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-595-5580",
        "authorized_official_credential": "B.C.H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.