Individual provider Active NPI

Jeffrey Howard Waldmuller, CP, LP

  • Prosthetist
  • Dallas, TX
National Provider Identifier
1003334053
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1809 Issued in TX
Practice address
15900 Preston Rd
Dallas, TX 75248-3551
Phone
(214) 382-9270
Fax
(214) 382-9271
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 1809 TX Primary

Addresses

Primary practice location

15900 Preston Rd
Dallas, TX 75248-3551

Mailing address

1207 Serenade LN
Richardson, TX 75081-4447
Phone (405) 902-5671

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1003334053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 SERENADE LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814447",
            "telephone_number": "405-902-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483551",
            "telephone_number": "214-382-9270",
            "fax_number": "214-382-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMULLER",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "credential": "CP, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1809",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 30, 2017; 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.