NPIMap

Organization Active NPI

Specialty Prosthetics & Orthotics of Texas LLC

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1932149689
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
0065744 Issued in TX
Legal business name
SPECIALTY PROSTHETICS & ORTHOTICS OF TEXAS LLC
Practice address
98 Briggs St
Suite 950
San Antonio, TX 78224-1286
Phone
(210) 932-3000
Fax
(210) 932-3040
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Mr. Edward KhuNPI 1255137790
Title
Owner
Phone
(210) 932-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065744 TX
Prosthetic/Orthotic Supplier 335E00000X 0065744 TX Primary

Addresses

Primary practice location

98 Briggs St
Suite 950
San Antonio, TX 78224-1286

Mailing address

98 Briggs St
Suite 950
San Antonio, TX 78224-1286
Phone (210) 932-3000

Other identifiers 2

IdentifierTypeStateIssuer
156537602MedicaidTX
156537601MedicaidTX

Other names 1

  • Specialty Prosthetics & Orthotics of Texas LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1932149689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST",
            "address_2": "SUITE 950",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241286",
            "telephone_number": "210-932-3000",
            "fax_number": "210-932-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST",
            "address_2": "SUITE 950",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241286",
            "telephone_number": "210-932-3000",
            "fax_number": "210-932-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PROSTHETICS & ORTHOTICS OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "KHU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-932-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065744",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "0065744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156537602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156537601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Prosthetics & Orthotics of Texas LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 28, 2011; 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.