Individual provider Active NPI

David Kumba Lefors, CPO

  • Prosthetist
  • Texarkana, TX
National Provider Identifier
1053666099
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1533 Issued in TX
Practice address
5604 Summerhill Rd
Suite 7
Texarkana, TX 75503-4650
Phone
(903) 794-0720
Fax
(903) 794-0512
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 1533 TX
Prosthetist 224P00000X 1533 TX Primary

Addresses

Primary practice location

5604 Summerhill Rd
Suite 7
Texarkana, TX 75503-4650

Mailing address

5604 Summerhill Rd
Suite 7
Texarkana, TX 75503-4650
Phone (903) 794-0720

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

State licenses

LicenseStateTypeSpecialty
1533TXMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orpro, Inc Past Accepting new patients
Orpro Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1053666099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 SUMMERHILL RD",
            "address_2": "SUITE 7",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034650",
            "telephone_number": "903-794-0720",
            "fax_number": "903-794-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 SUMMERHILL RD",
            "address_2": "SUITE 7",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034650",
            "telephone_number": "903-794-0720",
            "fax_number": "903-794-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFORS",
        "first_name": "DAVID",
        "middle_name": "KUMBA",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1533",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.