Active NPI
Joel Santos Deleon, C.P, L.P.
- Prosthetics Case Management
- Cleburne, TX
National Provider Identifier
1376573766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 548
- Practice address
- 105 Westmeadow Dr
Suite C
Cleburne, TX 76033-4024 - Phone
- (817) 556-3699
- Fax
- (817) 556-3877
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 548 | TX | Primary |
Addresses
Primary practice location
105 Westmeadow Dr
Suite C
Cleburne, TX 76033-4024
Mailing address
105 Westmeadow
Suite C
Cleburne, TX 76033
Phone (817) 556-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548 | TX | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alltech O & P Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Dallas, TX
- NPI 1891944468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376573766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WESTMEADOW",
"address_2": "SUITE C",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "76033",
"telephone_number": "817-556-3699",
"fax_number": "817-556-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WESTMEADOW DR",
"address_2": "SUITE C",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334024",
"telephone_number": "817-556-3699",
"fax_number": "817-556-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "JOEL",
"middle_name": "SANTOS",
"credential": "C.P, L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.