Organization Active NPI

J & C Orthotics and Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
National Provider Identifier
1225589708
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J & C ORTHOTICS AND PROSTHETICS
Practice address
3195 Calder Ave Ste 200
Beaumont, TX 77702-1426
Phone
(409) 833-8600
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Cheryl Evans, LCO
Title
Orthotist
Phone
(409) 833-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3195 Calder Ave Ste 200
Beaumont, TX 77702-1426

Mailing address

3195 Calder Ave Ste 200
Beaumont, TX 77702

Other identifiers 2

IdentifierTypeStateIssuer
1316138241MedicaidTX
164392601MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
J C Orthotics and Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1225589708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 CALDER AVE STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 CALDER AVE STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021426",
            "telephone_number": "409-833-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & C ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "409-833-8600",
        "authorized_official_credential": "LCO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316138241",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164392601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2016; 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.