Organization Active NPI

Hauser Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Conroe, TX
National Provider Identifier
1730287046
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
336 Issued in TX
Legal business name
HAUSER ORTHOTICS & PROSTHETICS, INC.
Practice address
507 Waco St
Conroe, TX 77301-2332
Phone
(936) 441-1133
Fax
(936) 788-1156
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Russ Hauser, CP
Title
Ceo
Phone
(936) 441-1133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X 336 TX Primary

Addresses

Primary practice location

507 Waco St
Conroe, TX 77301-2332

Mailing address

507 Waco St
Conroe, TX 77301-2332
Phone (936) 441-1133

Other identifiers 1

IdentifierTypeStateIssuer
189863701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061071 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5193928224 Practice locations: Conroe, 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
Hauser Orthotics & Prosthetics507 Waco St, Conroe, TX 77301-2332(936) 441-1133 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1730287046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WACO ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012332",
            "telephone_number": "936-441-1133",
            "fax_number": "936-788-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WACO ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012332",
            "telephone_number": "936-441-1133",
            "fax_number": "936-788-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUSER ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-441-1133",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189863701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.