Benjamin M Guenther, C.O.,LPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

OI60339265 Issued in WA

Practice address

1110 Medical Dr
Tyler, TX 75701-2109

Phone

(903) 592-5900

Fax

(903) 592-6683

NPI assigned

Sep 3, 2013

Last updated

Apr 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1306271838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012109",
            "telephone_number": "903-592-5900",
            "fax_number": "903-592-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012109",
            "telephone_number": "903-592-5900",
            "fax_number": "903-592-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTHER",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "C.O.,LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI60339265",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60452668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIC LICENSE",
            "identifier": "PS60452668",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OI60339265",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthotist in Tyler, TX
• Providers in Tyler, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.