NPIMap

Organization Active NPI

Nutech Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Harlingen, TX
National Provider Identifier
1336186162
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
85 Issued in TX
Legal business name
NUTECH ORTHOTICS & PROSTHETICS, LLC
Practice address
501 N Ed Carey Dr
Ste a
Harlingen, TX 78550-8358
Phone
(956) 412-5347
Fax
(956) 412-3563
NPI assigned
Jun 1, 2006
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Douglass J. Wacker, CPO, LPO
Title
Member, Manager
Phone
(956) 412-5347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 85 TX Primary

Addresses

Primary practice location

501 N Ed Carey Dr
Ste a
Harlingen, TX 78550-8358

Mailing address

501 N Ed Carey Dr
Ste a
Harlingen, TX 78550-8358
Phone (956) 412-5347

Other identifiers 4

IdentifierTypeStateIssuer
172779404MedicaidTX
179772403MedicaidTX
179772402MedicaidTX
172779401MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1336186162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N ED CAREY DR",
            "address_2": "STE A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508358",
            "telephone_number": "956-412-5347",
            "fax_number": "956-412-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ED CAREY DR",
            "address_2": "STE A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508358",
            "telephone_number": "956-412-5347",
            "fax_number": "956-412-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTECH ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "DOUGLASS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "956-412-5347",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172779404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179772403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179772402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172779401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.