Active NPI
Christopher Pete Guinn, C. PED
- Orthotic Fitter
- Austin, TX
National Provider Identifier
1851385728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 2102 Blalock Dr
Suite 102
Austin, TX 78758-2428 - Phone
- (512) 490-1255
- Fax
- (512) 490-1297
- NPI assigned
- Sep 7, 2005
- Last updated
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
2102 Blalock Dr
Suite 102
Austin, TX 78758-2428
Mailing address
2102 Blalock Dr
Suite 102
Austin, TX 78758-2428
Phone (512) 490-1255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171115202 | Medicaid | TX | |
| 171115204 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotics Specialist | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- San Antonio, TX
- NPI 1083895619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1851385728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 BLALOCK DR",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582428",
"telephone_number": "512-490-1255",
"fax_number": "512-490-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 BLALOCK DR",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582428",
"telephone_number": "512-490-1255",
"fax_number": "512-490-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINN",
"first_name": "CHRISTOPHER",
"middle_name": "PETE",
"credential": "C. PED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171115202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171115204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.