Organization Active NPI

Ortho Pro DME

  • Customized Equipment (DME)
  • Kingsville, TX
National Provider Identifier
1740750066
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ORTHO PRO DME
Practice address
1105 E Lott Ave
Kingsville, TX 78363-5834
Phone
(361) 494-9155
Fax
(361) 602-0707
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Danny Vidal
Title
Owner
Phone
(361) 494-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

1105 E Lott Ave
Kingsville, TX 78363-5834

Mailing address

1105 E Lott Ave
Kingsville, TX 78363-5834
Phone (361) 494-9155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1740750066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E LOTT AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635834",
            "telephone_number": "361-494-9155",
            "fax_number": "361-602-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E LOTT AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635834",
            "telephone_number": "361-494-9155",
            "fax_number": "361-602-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO PRO DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-494-9155"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.