Organization Active NPI

Laurie Dowell

Doing business as Arise Prosthetics

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1447250055
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
466 Issued in TX
Legal business name
LAURIE DOWELL
Doing business as
Arise Prosthetics
Practice address
704 S Bois D Arc Ave
Tyler, TX 75701-1503
Phone
(903) 592-4737
Fax
(903) 535-9028
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Laurie M Dowell, CP LP FAA OP
Title
Owner Operator
Phone
(903) 592-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 466 TX Primary

Addresses

Primary practice location

704 S Bois D Arc Ave
Tyler, TX 75701-1503

Mailing address

1910 Ese Loop323
#119
Tyler, TX 75701-8337
Phone (903) 542-4737

Other identifiers 2

IdentifierTypeStateIssuer
1637571MedicaidTX
$$$$$$$$$OtherTXSSN #

Other names 1

  • Arise Prosthetics Doing business as

National Provider Directory

National Provider Directory

Locations

1910 E Southeast Loop 323
Ste 119
Tyler, TX 75701

1910 Ese 323 Loop
#119
Tyler, TX 75701

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1447250055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ESE LOOP323",
            "address_2": "#119",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "903-542-4737",
            "fax_number": "903-535-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S BOIS D ARC AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011503",
            "telephone_number": "903-592-4737",
            "fax_number": "903-535-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE DOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "903-592-4737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CP LP FAA OP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1637571",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN #",
            "identifier": "$$$$$$$$$",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.