Organization Active NPI

Martin Bionics Clinical Care Dallas, LLC

  • Prosthetic/Orthotic Supplier
  • Irving, TX
National Provider Identifier
1003447764
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210827001033 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4385049451 Practice locations: Irving, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Martin Bionics Clinical Care Dallas850 W John Carpenter Fwy, Irving, TX 75039-2303(214) 346-4135 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Jun 30, 2021

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.

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.

Verify at the official NPI Registry.