NPIMap

Organization Active NPI

Second Silhouette, Inc

Doing business as Second Silhouette

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1811992324
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SECOND SILHOUETTE, INC
Doing business as
Second Silhouette
Practice address
5215 Kirby Dr Ste B
Houston, TX 77098-5013
Phone
(713) 529-3733
Fax
(713) 456-2188
NPI assigned
Jun 21, 2005
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Angela H Bullington
Title
V. President
Phone
(713) 677-3178

Specialties & licenses 1

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

Addresses

Primary practice location

5215 Kirby Dr Ste B
Houston, TX 77098-5013

Mailing address

5215 Kirby Dr Ste B
Houston, TX 77098-5013
Phone (713) 529-3733

Other names 1

  • Second Silhouette Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064668 TX DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Prosthetic Personnel 3971621855 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Second Silhouette Inc5215 Kirby Dr, Houston, TX 77098-5013(713) 529-3733 Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Second Silhouette Inc2 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

5215 Kirby Dr
#B
Houston, TX 77098
Phone (713) 529-3733

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1811992324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 KIRBY DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985013",
            "telephone_number": "713-529-3733",
            "fax_number": "713-456-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 KIRBY DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985013",
            "telephone_number": "713-529-3733",
            "fax_number": "713-456-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND SILHOUETTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "V. PRESIDENT",
        "authorized_official_telephone_number": "713-677-3178"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Silhouette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.