DFW Orthotics and Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DFW ORTHOTICS AND PROSTHETICS, LLC

Practice address

1721 W Plano Pkwy Ste 212
Plano, TX 75075-8600

Phone

(214) 325-7639

NPI assigned

Apr 17, 2018

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

DFW ORTHOTICS AND PROSTHETICSAs reported in NPPES

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

Authorized official

Name

Phuoc Nguyen, LPO, CPONPI 1275048852

Title

Owner/Practitioner

Phone

(214) 325-7639

Specialties & licenses 1

Addresses

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

Part of

DFW Orthotics and Prosthetics LLC

Locations

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.

• Phuoc Nguyen, CPO, LPO

  • Prosthetist
  • Plano, TX
  • NPI 1275048852

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1295222180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W PLANO PKWY STE 212",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758600",
            "telephone_number": "214-325-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W PLANO PKWY STE 212",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758600",
            "telephone_number": "214-325-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DFW ORTHOTICS AND PROSTHETICS",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUOC",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "214-325-7639",
        "authorized_official_credential": "LPO, CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DFW Asthma & Allergy Center PLLC
• DFW Facial Surgical Parnters LLC
• DFW Foot and Ankle Care LLC
• DFW Infusions PLLC
• DFW Mdcare PLLC
• DFW Plano Emergency Center, LLC (Signature Care Emergency Center - Plano)
• DFW Preston Emergency Center LLC (Signaturecare Emergency Center Preston)
• DFW Sleep Solutions LLC
• DFW Super Group I LLC
• DFW Wellness Center

• Prosthetic/Orthotic Supplier in Plano, TX
• Providers in Plano, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.