Organization Active NPI

Procare Orthotics & Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1114926888
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101038 Issued in TX
Legal business name
PROCARE ORTHOTICS & PROSTHETICS INC
Practice address
11261 Richmond Ave Ste 101
Houston, TX 77082-2676
Phone
(713) 799-1000
Fax
(713) 799-1260
NPI assigned
Jul 15, 2005
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Mr. Bill E Hearn
Title
Manager
Phone
(713) 799-1000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 56 TX
Durable Medical Equipment & Medical Supplies 332B00000X 101038 TX
Prosthetic/Orthotic Supplier 335E00000X 101038 TX Primary

Addresses

Primary practice location

11261 Richmond Ave Ste 101
Houston, TX 77082-2676

Mailing address

1311 Prince Creek CT
Katy, TX 77450-4924
Phone (713) 799-1000

Other identifiers 2

IdentifierTypeStateIssuer
143674301MedicaidTX
530861OtherTXBLUECROSS BLUESHIELD ID#

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

11261 Richmond Ave
Ste 101
Houston, TX 77082
Phone (713) 799-1000

7100 Grand Blvd
Ste B
Houston, TX 77054
Phone (713) 791-1011

8974 Kirby Dr
Houston, TX 77054
Phone (336) 291-6603

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1114926888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PRINCE CREEK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504924",
            "telephone_number": "713-799-1000",
            "fax_number": "713-799-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11261 RICHMOND AVE STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822676",
            "telephone_number": "713-799-1000",
            "fax_number": "713-799-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE ORTHOTICS & PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-799-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "56",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "101038",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143674301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID#",
            "identifier": "530861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.