Custom Orthotics & Prosthetics, LP

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

CUSTOM ORTHOTICS & PROSTHETICS, LP

Practice address

3901 Montana Ave Ste C
El Paso, TX 79903-4507

Phone

(915) 566-3440

Fax

(915) 566-1485

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Anette Calderon

Title

Practice Manager

Phone

(915) 566-3440

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Fabian T Calderon, CPO, LPO

  • Orthotist
  • El Paso, TX
  • NPI 1396794459
  NPD
• Walter Mauriece Cheney, CPO LPO

  • Orthotist
  • El Paso, TX
  • NPI 1538376108
  NPD (past)
• Steven A Erskine, CPO, LOP

  • Specialist
  • El Paso, TX
  • NPI 1427023373
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1255417929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034507",
            "telephone_number": "915-566-3440",
            "fax_number": "915-566-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034507",
            "telephone_number": "915-566-3440",
            "fax_number": "915-566-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ORTHOTICS & PROSTHETICS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "915-566-3440"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178724405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178724401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178724404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178724406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX O&P FACILITY STATE LIC",
            "identifier": "101202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178724407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Hoppe
• Cassandra Curtis
• Claire Elizabeth Curtis, BCBA
• Rachel Sarena Curtis, CLC
• Avonelle Custer
• Jeremy R Cuthbertson, M.D.
• Michael Louis Cutolo, D.P.M.
• Lisa Ann Cuyno, MA
• CVS Pharmacy Inc
• CVS Pharmacy Inc

• Orthotist in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.