Certified Prosthetics & Orthotics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

14 Issued in TX

Legal business name

CERTIFIED PROSTHETICS & ORTHOTICS, INC.

Practice address

304 Gemini CT
Victoria, TX 77901-2679

Phone

(361) 575-2877

Fax

(361) 575-5111

NPI assigned

Apr 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ray D. Smith, CPO, LPONPI 1992769020

Title

President

Phone

(361) 575-2877

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray D. Smith, CPO, LPO

  • Orthotic Fitter
  • Victoria, TX
  • NPI 1992769020
  NPD (past) Authorized official

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801850474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4646",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779034646",
            "telephone_number": "361-575-2877",
            "fax_number": "361-575-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GEMINI CT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012679",
            "telephone_number": "361-575-2877",
            "fax_number": "361-575-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-575-2877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "519219",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5374410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ruben Castro, LCSW
• Sirena Rene Castro
• William Edward Celentano, D.O.
• Sherry P Chambliss, LPC
• Chand Medical Practice Professional Limited Liability Company
• Kishan Chand, M.D.
• Karlissa Kay Chandler
• Harish Chandna, MD

• Durable Medical Equipment & Medical Supplies in Victoria, TX
• Providers in Victoria, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.
• 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.