Organization Active NPI

Reliant Prosthetics

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
National Provider Identifier
1215262373
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RELIANT PROSTHETICS
Practice address
5481 Blair Rd Ste 100
Dallas, TX 75231-4101
Phone
(972) 470-0300
Fax
(972) 470-0301
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Mr. Eric Thomas Loposer, L.P.O.NPI 1710939335
Title
Prosthetist/Orthotist
Phone
(972) 470-0300

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

5481 Blair Rd Ste 100
Dallas, TX 75231-4101

Mailing address

5481 Blair Rd Ste 100
Dallas, TX 75231-4101
Phone (972) 470-0300

Other identifiers 1

IdentifierTypeStateIssuer
213070001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930095595 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 6204026404 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

5481 Blair Rd
Ste 100
Dallas, TX 75231
Phone (972) 470-0300

5481 Blair Rd
#100
Dallas, TX 75231

1110 W Shore Dr
Ste D
Richardson, TX 75080

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1215262373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "972-470-0300",
            "fax_number": "972-470-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "972-470-0300",
            "fax_number": "972-470-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "LOPOSER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "972-470-0300",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213070001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.