Organization Active NPI

San Antonio Orthotics

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1801890504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101162 Issued in TX
Legal business name
SAN ANTONIO ORTHOTICS
Practice address
18585 Sigma Rd
Ste 104
San Antonio, TX 78258-4204
Phone
(210) 496-9940
Fax
(210) 403-0571
NPI assigned
Jun 9, 2005
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. John Domingo Martinez, LO,BOCO, C.O.
Title
Orthotist/Owner
Phone
(210) 496-9940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101162 TX Primary

Addresses

Primary practice location

18585 Sigma Rd
Ste 104
San Antonio, TX 78258-4204

Mailing address

18585 Sigma Rd
Ste 104
San Antonio, TX 78258-4204
Phone (210) 496-9940

National Provider Directory

National Provider Directory
Tax ID family
Nueces Prosthetics Orthotics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18585 Sigma Rd
Ste 104
San Antonio, TX 78258
Phone (210) 496-9940

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801890504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18585 SIGMA RD",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584204",
            "telephone_number": "210-496-9940",
            "fax_number": "210-403-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18585 SIGMA RD",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584204",
            "telephone_number": "210-496-9940",
            "fax_number": "210-403-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "ORTHOTIST/OWNER",
        "authorized_official_telephone_number": "210-496-9940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LO,BOCO, C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, 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.