Organization Active NPI

Arnold Orthotics & Prosthetics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1073512554
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 Directory

Locations

619 Jordan St
Shreveport, LA 71101
Phone (318) 425-2400

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C6869OtherLABCBS LA PROVIDER NUMBER
82 00056OtherLAUNITED HEALTHCARE
530164OtherTXBCBS OF TEXAS
1538671MedicaidLA

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.