Active NPI
John R Pierce Jr LLC
Doing business as Goal Pediatric Orthotics
- Prosthetic/Orthotic Supplier
- Dickinson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- JOHN R PIERCE JR LLC
- Doing business as
- Goal Pediatric Orthotics
- Practice address
- 622 FM 517 W
Dickinson, TX 77539 - Phone
- (409) 949-4100
- Fax
- (281) 334-8874
- NPI assigned
- Nov 2, 2007
- Last updated
- Aug 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Hermosillo
- Title
- Admin
- Phone
- (801) 830-6161
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
622 FM 517 W
Dickinson, TX 77539
Mailing address
471 E 1000 S Ste D
Pleasant Grove, UT 84062-3694
Phone (801) 830-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010721101 | Medicaid | TX |
Other names 1
- Goal Pediatric Orthotics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003035 | TX | DME Supplier - Orthotic Personnel | 2860513520 | Practice locations: Dickinson, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Brace LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Brace
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Goal Pediatrics Orthotics
- Prosthetic/Orthotic Supplier
- Bryan, TX
- NPI 1073460887
Locations
622 FM 517 Rd W
Dickinson, TX 77539
Phone (409) 949-4100
107 W Way St
Ste 13
Lake Jackson, TX 77566
Phone (979) 299-0005
3210 13th Ave N
Texas City, TX 77590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Lake Jackson, TX
- NPI 1477692341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1538348800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 E 1000 S STE D",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623694",
"telephone_number": "801-830-6161",
"fax_number": "281-334-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 FM 517 W",
"city": "DICKINSON",
"state": "TX",
"postal_code": "77539",
"telephone_number": "409-949-4100",
"fax_number": "281-334-8874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R PIERCE JR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "HERMOSILLO",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "801-830-6161"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010721101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Goal Pediatric Orthotics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.