Organization Active NPI

Embrace Diabetes Footwear Solutions

  • Prosthetic/Orthotic Supplier
  • Arlington, TX
National Provider Identifier
1174827604
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Dec 23, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
651515165OtherTXMULTIPLE LICENSE STATE OF TEXAS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.