Active NPI
Martin Bionics Clinical Care Dallas, LLC
- Prosthetic/Orthotic Supplier
- Irving, TX
National Provider Identifier
1003447764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MARTIN BIONICS CLINICAL CARE DALLAS, LLC
- Practice address
- 850 W John Carpenter Fwy
Irving, TX 75039-2303 - Phone
- (844) 624-6642
- NPI assigned
- Jan 31, 2020
- Organization subpart
- Yes
- Parent organization
- CAPITAL PROSTHETICS & ORTHOTICS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Beard
- Title
- Credentialing Coordinator
- Phone
- (405) 900-4935
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
850 W John Carpenter Fwy
Irving, TX 75039-2303
Mailing address
214 E Main St
Oklahoma City, OK 73104-4221
Phone (844) 624-6642
Other names 1
- Martin Bionics Clinical Care Dallas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210827001033 | TX | DME Supplier - Prosthetic Personnel | 4385049451 | Practice locations: Irving, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martin Bionics Clinical Care Dallas | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Capital Prosthetics Orthotics LLC
Locations
1005 E Saint Elmo Rd
Bldg 9
Austin, TX 78745
Phone (512) 916-9431
4125 Old Denton Rd
Carrollton, TX 75010
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Austin, TX
- NPI 1053779231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1003447764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E MAIN ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044221",
"telephone_number": "844-624-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W JOHN CARPENTER FWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750392303",
"telephone_number": "844-624-6642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN BIONICS CLINICAL CARE DALLAS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPITAL PROSTHETICS & ORTHOTICS, LLC",
"enumeration_date": "2020-01-31",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "405-900-4935"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin Bionics Clinical Care Dallas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.