Prosthetic One

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1829 Issued in TX

Legal business name

PROSTHETIC ONE

Practice address

3050 S Center St Ste 120
Arlington, TX 76014-2154

Phone

(682) 323-5921

Fax

(682) 323-5974

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Baker, CPO/L

Title

Ceo

Phone

(682) 323-5921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1891232617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152905",
            "telephone_number": "682-323-5921",
            "fax_number": "682-323-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S CENTER ST STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142154",
            "telephone_number": "682-323-5921",
            "fax_number": "682-323-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-323-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO/L"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Arlington, TX
• Providers in Arlington, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.