Organization Active NPI

Prosthetic Solution Centers of America, LLC

  • Prosthetic/Orthotic Supplier
  • Beaumont, TX
National Provider Identifier
1194156372
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC SOLUTION CENTERS OF AMERICA, LLC
Practice address
3185 Calder St
Beaumont, TX 77702-1410
Phone
(409) 839-8888
Fax
(409) 839-8889
NPI assigned
Dec 12, 2013
Organization subpart
Yes
Parent organization
PROSTHETIC SOLUTION CENTERS OF AMERICA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Mr. Dale Stuart Lee Sheen, L.P.ONPI 1487822342
Title
Coo
Phone
(281) 580-8228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3185 Calder St
Beaumont, TX 77702-1410

Mailing address

PO Box 90939
Houston, TX 77290-0939
Phone (409) 839-8888

Other names 1

  • Prosthetic Solution Center Doing business as

National Provider Directory

National Provider Directory
Part of
Prosthetic Solution Centers of America LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1194156372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90939",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772900939",
            "telephone_number": "409-839-8888",
            "fax_number": "409-839-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021410",
            "telephone_number": "409-839-8888",
            "fax_number": "409-839-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC SOLUTION CENTERS OF AMERICA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSTHETIC SOLUTION CENTERS OF AMERICA, LLC",
        "enumeration_date": "2013-12-12",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "SHEEN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "STUART LEE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-580-8228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthetic Solution Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prosthetic Solution Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.