Individual provider Active NPI

David Patterson, CO

  • Orthotist
  • Spring, TX
National Provider Identifier
1841649167
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO005620 Issued in TX
Practice address
230 Spring Hill Dr
335
Spring, TX 77386-2381
Phone
(281) 296-8999
Fax
(281) 296-8989
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO005620
Orthotist 222Z00000X CO005620 TX Primary

Addresses

Primary practice location

230 Spring Hill Dr
335
Spring, TX 77386-2381

Mailing address

917 W 1630 N
Orem, UT 84057-8615
Phone (435) 962-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO005620TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Goal Pediatric Orthotics LLC Current Accepting new patients
Goal Pediatric Orthotics LLC CurrentSince Apr 1, 2020 Accepting new patients
Hope Orthotics, LLC Orthotist PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1841649167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W 1630 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840578615",
            "telephone_number": "435-962-0524",
            "fax_number": "801-392-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SPRING HILL DR",
            "address_2": "335",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862381",
            "telephone_number": "281-296-8999",
            "fax_number": "281-296-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CO005620",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "CO005620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.