Advanced Prosthetic Research Waco, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1014897 Issued in TX

Legal business name

ADVANCED PROSTHETIC RESEARCH WACO, INC.

Practice address

2410 Wycon Dr
Ste 101
Waco, TX 76712-8957

Phone

(254) 235-1477

Fax

(855) 710-8016

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jan-Morgan Gainer, LP

Title

Owner/Operator

Phone

(254) 235-1477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1134526296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251729",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251729",
            "telephone_number": "469-219-7878",
            "fax_number": "855-710-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 WYCON DR",
            "address_2": "STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128957",
            "telephone_number": "254-235-1477",
            "fax_number": "855-710-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETIC RESEARCH WACO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "JAN-MORGAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "254-235-1477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1014897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.