Organization Active NPI

Virgil W Faulkner

Doing business as Acme Orthopedic Labs

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1912188392
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
3160 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
167924302MedicaidTX

Other names 1

  • ACME ORTHOPEDIC LABS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.