Organization Active NPI

Sola Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Carrollton, TX
National Provider Identifier
1962038117
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOLA PROSTHETICS, INC
Practice address
4541 N Josey LN Ste 240
Carrollton, TX 75010-4781
Phone
(214) 960-9190
Fax
(225) 286-7547
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Mr. Scott Guichet
Title
President/Ceo
Phone
(214) 960-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4541 N Josey LN Ste 240
Carrollton, TX 75010-4781

Mailing address

PO Box 1565
Little Elm, TX 75068-1565
Phone (972) 492-7652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200331003461 TX DME Supplier - Prosthetic Personnel 3476982158 Practice locations: Carrollton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sola Prosthetics Inc4541 N Josey LN, Carrollton, TX 75010-4781(972) 492-7652 Limb Prostheses Accepts assignmentParticipating since Mar 1, 2020

National Provider Directory

National Provider Directory

Locations

4541 N Josey Ln
Ste 240
Carrollton, TX 75010
Phone (214) 960-9190

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1962038117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1565",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681565",
            "telephone_number": "972-492-7652",
            "fax_number": "225-286-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 240",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104781",
            "telephone_number": "214-960-9190",
            "fax_number": "225-286-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLA PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "GUICHET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-960-9190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.