Organization Active NPI

D & D Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Irving, TX
National Provider Identifier
1972520880
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
446 Issued in TX
Legal business name
D & D ORTHOTICS AND PROSTHETICS
Practice address
1638 W Irving Blvd
Irving, TX 75061-7258
Phone
(972) 254-9292
Fax
(972) 254-9290
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dinah Martin
Title
Partner
Phone
(972) 254-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 446 TX Primary

Addresses

Primary practice location

1638 W Irving Blvd
Irving, TX 75061-7258

Mailing address

1638 W Irving Blvd
Irving, TX 75061-7258
Phone (972) 254-9292

Other identifiers 2

IdentifierTypeStateIssuer
1547242-01MedicaidTX
531355OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1638 W Irving Blvd
Irving, TX 75061
Phone (972) 254-9292

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1972520880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617258",
            "telephone_number": "972-254-9292",
            "fax_number": "972-254-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617258",
            "telephone_number": "972-254-9292",
            "fax_number": "972-254-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-254-9292"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1547242-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531355",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.