Active NPI
Virgil W Faulkner
Doing business as Acme Orthopedic Labs
- Prosthetic/Orthotic Supplier
- San Antonio, TX
National Provider Identifier
1912188392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 3160
- Legal business name
- VIRGIL W FAULKNER
- Doing business as
- Acme Orthopedic Labs
- Practice address
- 2411 NE Loop 410
112
San Antonio, TX 78217-6644 - Phone
- (210) 655-5227
- Fax
- (210) 646-0595
- NPI assigned
- Nov 14, 2007
- Last updated
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leticia Cantu
- Title
- Billing Manager
- Phone
- (210) 733-1802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 3160 | TX | Primary |
Addresses
Primary practice location
2411 NE Loop 410
112
San Antonio, TX 78217-6644
Mailing address
2411 NE Loop 410
112
San Antonio, TX 78217-6644
Phone (210) 655-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167924302 | Medicaid | TX |
Other names 1
- ACME ORTHOPEDIC LABS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1912188392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 NE LOOP 410",
"address_2": "112",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176644",
"telephone_number": "210-655-5227",
"fax_number": "210-646-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 NE LOOP 410",
"address_2": "112",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176644",
"telephone_number": "210-655-5227",
"fax_number": "210-646-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGIL W FAULKNER",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "CANTU",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "210-733-1802"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "3160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167924302",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME ORTHOPEDIC LABS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.