Active NPI
Sola Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Carrollton, TX
National Provider Identifier
1962038117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200331003461 | TX | DME Supplier - Prosthetic Personnel | 3476982158 | Practice locations: Carrollton, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sola Prosthetics Inc | Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.