Active NPI
Dale Stuart Lee Sheen, LPO CO
- Prosthetist
- Humble, TX
National Provider Identifier
1487822342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1
- Practice address
- 138 1St St W
Humble, TX 77338-3619 - Phone
- (281) 580-8228
- Fax
- (281) 580-8229
- NPI assigned
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 001 | TX | |
| Orthotist | 222Z00000X | 1 | TX | |
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | 1 | TX | |
| Prosthetist | 224P00000X | 1 | TX | Primary |
Addresses
Primary practice location
138 1St St W
Humble, TX 77338-3619
Mailing address
PO Box 90939
Houston, TX 77290-0939
Phone (281) 580-8228
Other practice location 1
840 FM 1960 West
Suite 5
Houston, TX 77090-3417
Phone (281) 580-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1744P3200X | Other | TX | ORTHOTICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001 | TX | MD | Prosthetics Case Management |
| 1 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosthetic Solution Centers of America, LLC | Current | Accepting new patients | |
| Prosthetic Solution Centers of America, LLC | Current | Accepting new patients | |
| Freedom Prosthetics and Orthotics, Inc. | Orthotist | Past | Accepting new patients |
Locations
3185 Calder St
Beaumont, TX 77702
Phone (409) 839-8888
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Beaumont, TX
- NPI 1194156372
-
- Prosthetic/Orthotic Supplier
- Houston, TX
- NPI 1508296021
-
- Prosthetic/Orthotic Supplier
- Beaumont, TX
- NPI 1609036797
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1487822342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90939",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772900939",
"telephone_number": "281-580-8228",
"fax_number": "281-580-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 1ST ST W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383619",
"telephone_number": "281-580-8228",
"fax_number": "281-580-8229"
}
],
"practiceLocations": [
{
"address_1": "840 FM 1960 West",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903417",
"country_code": "US",
"telephone_number": "281-580-8228",
"fax_number": "281-580-8229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEEN",
"first_name": "DALE",
"middle_name": "STUART LEE",
"name_prefix": "Mr.",
"credential": "LPO CO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "001",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "1",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "TX",
"license": "1",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOTICS",
"identifier": "1744P3200X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.