Organization Active NPI

San Antonio Orthotics Corporation

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1417951237
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
000153 Issued in TX
Legal business name
SAN ANTONIO ORTHOTICS CORPORATION
Practice address
7220 Louis Pasteur
Ste 144
San Antonio, TX 78229-4535
Phone
(210) 614-8777
Fax
(210) 614-8795
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mr. Frank Daniel Martinez, LO,BOCO,C.O
Title
Orthotist/Owner
Phone
(210) 614-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 000153 TX Primary

Addresses

Primary practice location

7220 Louis Pasteur
Ste 144
San Antonio, TX 78229-4535

Mailing address

7220 Louis Pasteur
Ste 144
San Antonio, TX 78229-4535
Phone (210) 614-8777

Other identifiers 1

IdentifierTypeStateIssuer
0107799-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

7220 Louis Pasteur Dr
Ste 144
San Antonio, TX 78229
Phone (210) 614-8777

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1417951237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR",
            "address_2": "STE 144",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294535",
            "telephone_number": "210-614-8777",
            "fax_number": "210-614-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR",
            "address_2": "STE 144",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294535",
            "telephone_number": "210-614-8777",
            "fax_number": "210-614-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ORTHOTICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "ORTHOTIST/OWNER",
        "authorized_official_telephone_number": "210-614-8777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LO,BOCO,C.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "000153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107799-01",
            "state": "TX"
        }
    ],
    "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 Jun 23, 2011; 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.