Active NPI
Arnold Orthotics & Prosthetics, Inc.
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
National Provider Identifier
1073512554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ARNOLD ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 619 Jordan St
Shreveport, LA 71101-4748 - Phone
- (318) 425-2400
- Fax
- (318) 425-2405
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
National Provider Directory
National Provider DirectoryLocations
619 Jordan St
Shreveport, LA 71101
Phone (318) 425-2400
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Butler Arnold, CPO
- Title
- President
- Phone
- (318) 425-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
619 Jordan St
Shreveport, LA 71101-4748
Mailing address
619 Jordan St
Shreveport, LA 71101-4748
Phone (318) 425-2400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6869 | Other | LA | BCBS LA PROVIDER NUMBER |
| 82 00056 | Other | LA | UNITED HEALTHCARE |
| 530164 | Other | TX | BCBS OF TEXAS |
| 1538671 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1073512554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 JORDAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014748",
"telephone_number": "318-425-2400",
"fax_number": "318-425-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 JORDAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014748",
"telephone_number": "318-425-2400",
"fax_number": "318-425-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARNOLD ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "BUTLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-425-2400",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LA PROVIDER NUMBER",
"identifier": "C6869",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "82 00056",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "530164",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538671",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.