Individual provider Active NPI

Eric T Loposer, CO LPO

  • Prosthetist
  • Richardson, TX
National Provider Identifier
1710939335
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
339 Issued in TX
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

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145660001MedicaidTX
339OtherTXORTHOTIST/PROSTHETIST
339OtherTXTEXAS 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

LicenseStateTypeSpecialty
339TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Prosthetics Orthotist PastSince Sep 29, 2019 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.

Verify at the official NPI Registry.