Djo, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DJO, LLC

Practice address

2900 Lake Vista Dr Ste 200
Lewisville, TX 75067-3889

Phone

(800) 321-9549

Fax

(844) 277-2075

NPI assigned

Apr 7, 2022

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

DJO, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Andres Moreno III

Title

President

Phone

(800) 321-9549

Specialties & licenses 2

Addresses

Tax ID family

Djo LLC9 organizations share this tax ID, including this one

Part of

Djo LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Holt, MI
  • NPI 1003632084
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Apollo Beach, FL
  • NPI 1023296035
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hixson, TN
  • NPI 1033980271
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
  • NPI 1053195446
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
  • NPI 1497731533
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vista, CA
  • NPI 1518708320
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
  • NPI 1780459388
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Goshen, IN
  • NPI 1861267460
  NPD tax ID

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1982345302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAKE VISTA DR STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673889",
            "telephone_number": "866-356-7846",
            "fax_number": "844-277-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAKE VISTA DR STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673889",
            "telephone_number": "800-321-9549",
            "fax_number": "844-277-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DJO, LLC",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-321-9549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Elizabeth Dixon, CCC-SLP
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• Mariana Dorenbaum Samuel
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• Durable Medical Equipment & Medical Supplies in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.