Organization Active NPI

Platinum Innovations, LTD.

Doing business as Sole Support Medical

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1447551601
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PLATINUM INNOVATIONS, LTD.
Doing business as
Sole Support Medical
Practice address
2039 Trawood Dr
Ste B
El Paso, TX 79935-3501
Phone
(915) 546-5171
Fax
(915) 546-9774
NPI assigned
Nov 4, 2010
Organization subpart
Yes
Parent organization
PLATINUM INNOVATIONS, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Mr. Marc Weiss
Title
Certified Pedorthist
Phone
(210) 615-0004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2039 Trawood Dr
Ste B
El Paso, TX 79935-3501

Mailing address

2039 Trawood Dr
Ste B
El Paso, TX 79935-3501
Phone (915) 546-5171

Other identifiers 1

IdentifierTypeStateIssuer
1598054-01MedicaidTX

Other names 1

  • Sole Support Medical Doing business as

National Provider Directory

National Provider Directory
Part of
Platinum Innovations LTD

Locations

7400 Louis Pasteur Dr
Ste 209
San Antonio, TX 78229
Phone (210) 614-4753

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1447551601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 TRAWOOD DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353501",
            "telephone_number": "915-546-5171",
            "fax_number": "915-546-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 TRAWOOD DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353501",
            "telephone_number": "915-546-5171",
            "fax_number": "915-546-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM INNOVATIONS, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLATINUM INNOVATIONS, LTD.",
        "enumeration_date": "2010-11-04",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "210-615-0004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598054-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sole Support Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.