NPIMap

Organization Active NPI

Baker O & P Enterprises, Inc.

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
National Provider Identifier
1528469764
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BAKER O & P ENTERPRISES, INC.
Practice address
1311 Record Crossing Rd
Dallas, TX 75235-6003
Phone
(972) 348-5295
Fax
(972) 692-7533
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Aaron Kratohvil
Title
Controller
Phone
(615) 550-8760

Specialties & licenses 1

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

Addresses

Primary practice location

1311 Record Crossing Rd
Dallas, TX 75235-6003

Mailing address

1311 Record Crossing Rd
Dallas, TX 75235-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417000766 TX DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 7517079031 Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dallas Record Crossing1311 Record Crossing Rd, Dallas, TX 75235-6003(972) 348-5295 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Feb 28, 2001

National Provider Directory

National Provider Directory
Tax ID family
Baker O P Enterprises13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1311 Record Crossing Rd
Dallas, TX 75235
Phone (972) 348-5295

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1528469764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356003",
            "telephone_number": "972-348-5295",
            "fax_number": "972-692-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER O & P ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "KRATOHVIL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-550-8760"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.