NPIMap

Organization Active NPI

Greg a. Nesteby

  • Specialist
  • Lubbock, TX
National Provider Identifier
1548339310
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
222Z00000X ORTHO 377 Issued in TX
Legal business name
GREG A. NESTEBY
Doing business as
B & G Orthopedic Appliances
Practice address
4433 34TH St
Lubbock, TX 79410-2416
Phone
(806) 792-6193
Fax
(806) 792-2863
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Gregory Alfred Nesteby, L.O., B.O.C., A.B.C.NPI 1093899932
Title
Owner
Phone
(806) 792-6193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 222Z00000X ORTHO 377 TX Primary

Addresses

Primary practice location

4433 34TH St
Lubbock, TX 79410-2416

Mailing address

4433 34TH St
Lubbock, TX 79410-2416
Phone (806) 792-6193

Other identifiers 5

IdentifierTypeStateIssuer
087031301MedicaidTX
102339100OtherTXFIRST CARE
513125OtherTXNM BCBS
087031301MedicaidNM
513125OtherTXTX BCBS

Other names 1

  • B & G Orthopedic Appliances Doing business as

National Provider Directory

National Provider Directory

Locations

4433 34th St
Lubbock, TX 79410
Phone (806) 792-6193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1548339310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102416",
            "telephone_number": "806-792-6193",
            "fax_number": "806-792-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102416",
            "telephone_number": "806-792-6193",
            "fax_number": "806-792-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG A. NESTEBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "NESTEBY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-792-6193",
        "authorized_official_credential": "L.O., B.O.C., A.B.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "222Z00000X ORTHO 377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087031301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "102339100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BCBS",
            "identifier": "513125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087031301",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS",
            "identifier": "513125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & G Orthopedic Appliances",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.