Scott Sabolich Prosthetics & Research LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP2626 Issued in OK

Legal business name

SCOTT SABOLICH PROSTHETICS & RESEARCH LLC

Practice address

15900 Preston Rd
Dallas, TX 75248-3551

Phone

(877) 226-5424

Fax

(405) 841-9885

NPI assigned

Jul 1, 2011

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Lewis, CPCO

Title

Evp of Licensure and Compliance

Phone

(512) 806-2861

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Otto Bock Patient Care, LLC

  • Prosthetic/Orthotic Supplier
  • Lancaster, PA
  • NPI 1841903663

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1417244195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16231",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731132231",
            "telephone_number": "405-841-6800",
            "fax_number": "405-841-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483551",
            "telephone_number": "877-226-5424",
            "fax_number": "405-841-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SABOLICH PROSTHETICS & RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EVP OF LICENSURE AND COMPLIANCE",
        "authorized_official_telephone_number": "512-806-2861",
        "authorized_official_credential": "CPCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "CP2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812550A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162712701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scorpio Distro LLC
• Scott & White Clinic
• Scott a Porter MD PA
• Scott Davis, DO, PA
• Scott Psychiatric Solutions PLLC (Scott Psychiatric Solutions)
• Scott Wood, M.D., P.a.
• Scott Zashin MD
• Sandra Renee Scott-Roberts
• Allison Scott
• Alvina Scott

• Prosthetic/Orthotic Supplier in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.