Active NPI
Embrace Diabetes Footwear Solutions
- Prosthetic/Orthotic Supplier
- Arlington, TX
National Provider Identifier
1174827604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- EMBRACE DIABETES FOOTWEAR SOLUTIONS
- Practice address
- 982 N Cooper St
Arlington, TX 76011-5779 - Phone
- (817) 994-0543
- NPI assigned
- Dec 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toddy Jack
- Title
- Ceo
- Phone
- (817) 994-0543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
982 N Cooper St
Arlington, TX 76011-5779
Mailing address
982 N Cooper St
Arlington, TX 76011-5779
Phone (817) 994-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651515165 | Other | TX | MULTIPLE LICENSE STATE OF TEXAS |
National Provider Directory
National Provider DirectoryLocations
982 N Cooper St
Arlington, TX 76011
Phone (817) 597-7137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293062400000",
"number": "1174827604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 N COOPER ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760115779",
"telephone_number": "817-994-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 N COOPER ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760115779",
"telephone_number": "817-994-0543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACE DIABETES FOOTWEAR SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-23",
"last_updated": "2010-12-23",
"status": "A",
"authorized_official_last_name": "JACK",
"authorized_official_first_name": "TODDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-994-0543"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLE LICENSE STATE OF TEXAS",
"identifier": "651515165",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.