MBCC DALLAS LLC NPI 1003447764

Prosthetist in Carrollton, TX

Organization Prosthetist

About MBCC DALLAS LLC

Mbcc Dallas Llc is a provider established in Carrollton, Texas specializing in prosthetist. The NPI number of Mbcc Dallas Llc is 1003447764 and was assigned on January 2020. The practitioner's primary taxonomy code is 224P00000X. The provider is registered as an organization and their NPI record was last updated January 2020. Mbcc Dallas Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. James Jay Martin Cp, Lp, Faaop (President)

NPI

1003447764

Provider NameMBCC DALLAS LLC
Provider Location Address4125 OLD DENTON RD CARROLLTON, TX 75010
Provider Mailing Address214 E MAIN ST OKLAHOMA CITY, OK 73104
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-31-2020
Last Update Date01-31-2020

Primary Taxonomy

Taxonomy Code224P00000X
ClassificationProsthetist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionA health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Business Address

MBCC DALLAS LLC
4125 OLD DENTON RD
CARROLLTON, TX
ZIP 75010
Phone: (844) 624-6642

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Mailing Address

MBCC DALLAS LLC
214 E MAIN ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (844) 624-6642

Authorized Official

Authorized Official NameMR. JAMES JAY MARTIN CP, LP, FAAOP
Authorized Official TitlePRESIDENT
Authorized Official Phone(405) 850-2069

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.