Individual provider Active NPI

Dale Stuart Lee Sheen, LPO CO

  • Prosthetist
  • Humble, TX
National Provider Identifier
1487822342
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
1 Issued in TX
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

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1744P3200XOtherTXORTHOTICS

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

LicenseStateTypeSpecialty
001TXMDProsthetics Case Management
1TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.