Active NPI
McMahan Shoes, Inc.
- Prosthetic/Orthotic Supplier
- Dallas, TX
National Provider Identifier
1780707786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 435
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.