Organization Active NPI

McMahan Shoes, Inc.

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
National Provider Identifier
1780707786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
435 Issued in TX
Legal business name
MCMAHAN SHOES, INC.
Practice address
3903 Gaston Ave
Dallas, TX 75246-1512
Phone
(214) 827-7921
Fax
(214) 827-7926
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Curtis P McMahan, CERTIFIED PEDORTHIST
Title
Ceo
Phone
(214) 827-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 435 TX Primary

Addresses

Primary practice location

3903 Gaston Ave
Dallas, TX 75246-1512

Mailing address

3903 Gaston Ave
Dallas, TX 75246-1512
Phone (214) 827-7921

National Provider Directory

National Provider Directory

Locations

3903 Gaston Ave
Dallas, TX 75246
Phone (214) 827-7921

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780707786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461512",
            "telephone_number": "214-827-7921",
            "fax_number": "214-827-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461512",
            "telephone_number": "214-827-7921",
            "fax_number": "214-827-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHAN SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-827-7921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.