Organization Active NPI

Precision Prosthetic Inc

  • Prosthetic/Orthotic Supplier
  • El Paso, TX
National Provider Identifier
1366585689
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101161 Issued in TX
Legal business name
PRECISION PROSTHETIC INC
Practice address
1501 Missouri Ave
El Paso, TX 79902
Phone
(915) 544-2961
Fax
(915) 544-2963
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Katherine E Lee
Title
President/Owner
Phone
(915) 544-2961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101161 TX Primary

Addresses

Primary practice location

1501 Missouri Ave
El Paso, TX 79902

Mailing address

1501 Missouri Ave
El Paso, TX 79902
Phone (915) 544-2961

Other identifiers 3

IdentifierTypeStateIssuer
010983701MedicaidTX
016928601MedicaidTX
43501338OtherNMMEDICAID

National Provider Directory

National Provider Directory

Locations

1501 E Missouri Ave
El Paso, TX 79902
Phone (915) 544-2961

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1366585689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-544-2961",
            "fax_number": "915-544-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-544-2961",
            "fax_number": "915-544-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PROSTHETIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "915-544-2961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010983701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016928601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "43501338",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.