Organization Active NPI

Sixto G. Vargas

Doing business as Century M Orthotics

  • Prosthetic/Orthotic Supplier
  • Corpus Christi, TX
National Provider Identifier
1013195700
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
470 Issued in TX
Legal business name
SIXTO G. VARGAS
Doing business as
Century M Orthotics
Practice address
4949 Everhart Rd
Suite 104B
Corpus Christi, TX 78411-3949
Phone
(361) 852-0614
Fax
(361) 852-0046
NPI assigned
Feb 5, 2008
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Sixto G Vargas Jr., CO, LONPI 1972527208
Title
Owner
Phone
(361) 852-0614

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 470 TX
Prosthetic/Orthotic Supplier 335E00000X 470 TX Primary

Addresses

Primary practice location

4949 Everhart Rd
Suite 104B
Corpus Christi, TX 78411-3949

Mailing address

PO Box 6942
Corpus Christi, TX 78466-6942
Phone (361) 852-0614

Other identifiers 3

IdentifierTypeStateIssuer
531013OtherTXBCBS
150380702OtherTXMEDICAID HOME HEALTH
150380701MedicaidTX

Other names 1

  • Century M Orthotics Doing business as

National Provider Directory

National Provider Directory

Locations

4949 Everhart Rd
Ste 104B
Corpus Christi, TX 78411
Phone (361) 852-0614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1013195700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6942",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666942",
            "telephone_number": "361-852-0614",
            "fax_number": "361-852-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 EVERHART RD",
            "address_2": "SUITE 104B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113949",
            "telephone_number": "361-852-0614",
            "fax_number": "361-852-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTO G. VARGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "SIXTO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-852-0614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CO, LO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "470",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HOME HEALTH",
            "identifier": "150380702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150380701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century M Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.