Organization Active NPI

John R Pierce Jr LLC

Doing business as Goal Pediatric Orthotics

  • Prosthetic/Orthotic Supplier
  • Dickinson, TX
National Provider Identifier
1538348800
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
010721101MedicaidTX

Other names 1

  • Goal Pediatric Orthotics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003035 TX DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 2860513520 Practice locations: Dickinson, TX

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
Advanced Brace LLC622 FM 517 Rd W, Dickinson, TX 77539-3904(409) 949-4100 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Nov 21, 2000

National Provider Directory

National Provider Directory
Tax ID family
Advanced Brace2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.