Organization Active NPI

South Texas Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1407854854
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
000098 Issued in TX
Legal business name
SOUTH TEXAS PROSTHETICS INC
Practice address
302 E Nakoma St
San Antonio, TX 78216-2732
Phone
(210) 377-1234
Fax
(210) 308-0210
NPI assigned
Jul 11, 2005
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Jack B Rosenberger, CP
Title
President
Phone
(210) 377-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 000098 TX Primary

Addresses

Primary practice location

302 E Nakoma St
San Antonio, TX 78216-2732

Mailing address

302 E Nakoma St
San Antonio, TX 78216-2732
Phone (210) 377-1234

Other identifiers 1

IdentifierTypeStateIssuer
V671P3887OtherVETERANS ADMINISTRATING

National Provider Directory

National Provider Directory

Locations

302 E Nakoma St
San Antonio, TX 78216
Phone (210) 377-1234

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1407854854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E NAKOMA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162732",
            "telephone_number": "210-377-1234",
            "fax_number": "210-308-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E NAKOMA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162732",
            "telephone_number": "210-377-1234",
            "fax_number": "210-308-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-377-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "000098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINISTRATING",
            "identifier": "V671P3887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.