Advanced Orthopedic Designs, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED ORTHOPEDIC DESIGNS, LLC

Practice address

98 Briggs St Ste 950
San Antonio, TX 78224-1292

Phone

(210) 932-3000

Fax

(210) 932-3040

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Oneill, CPONPI 1700400249

Title

Vice President

Phone

(503) 407-5408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Advanced Orthopedic Designs, LLC

  dba Texas Prosthetic Systems

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
  • NPI 1568651131

  9133324692

  Same PAC ID

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

Tax ID family

Advanced Orthopedic Designs LLC2 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.

• Advanced Orthopedic Designs, LLC

  dba Texas Prosthetic Systems

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
  • NPI 1568651131
  NPD tax ID

Locations

Practitioners 3

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.

• Timothy L O'Neill, CPO

  • Prosthetist
  • Beaverton, OR
  • NPI 1700400249
  Authorized official Same address or phone
• Imelda Pena, CPO

  • Prosthetist
  • Live Oak, TX
  • NPI 1508639964

  Orthotist

  NPD
• Kevin Charles Matthews, LO

  • Orthotist
  • Live Oak, TX
  • NPI 1093887440
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1639837925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 206",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333264",
            "telephone_number": "210-657-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST STE 950",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241292",
            "telephone_number": "210-932-3000",
            "fax_number": "210-932-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDIC DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "503-407-5408",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.