Active NPI
Eric T Loposer, CO LPO
- Prosthetist
- Richardson, TX
National Provider Identifier
1710939335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 339
- Practice address
- 1110 West Shore Drive
Suite 400D
Richardson, TX 75080 - Phone
- (972) 470-0300
- Fax
- (972) 470-0301
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 339 | TX | Primary |
| Orthotist | 222Z00000X | 339 | TX |
Addresses
Primary practice location
1110 West Shore Drive
Suite 400D
Richardson, TX 75080
Mailing address
1110 West Shore Drive
Suite 400D
Richardson, TX 75080
Phone (972) 470-0300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145660001 | Medicaid | TX | |
| 339 | Other | TX | ORTHOTIST/PROSTHETIST |
| 339 | Other | TX | TEXAS BOARD OF O & P |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Prosthetics | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1710939335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 WEST SHORE DRIVE",
"address_2": "SUITE 400D",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-470-0300",
"fax_number": "972-470-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 WEST SHORE DRIVE",
"address_2": "SUITE 400D",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-470-0300",
"fax_number": "972-470-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPOSER",
"first_name": "ERIC",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "CO LPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "339",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "339",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145660001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOTIST/PROSTHETIST",
"identifier": "339",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF O & P",
"identifier": "339",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.