MR. BILLY GORDON LP
NPI 1053950303
Prosthetist in Dallas, TX
NPI Status: Active since January 04, 2020
Contact Information
4001 ROSS AVE APT 111
DALLAS, TX
ZIP 75204
Phone: (321) 217-9297
- Individual
- Male
- Prosthetist
- PECOS Enrolled
About BILLY GORDON
This page provides the complete NPI Profile along with additional information for Billy Gordon, a provider established in Dallas, Texas with a medical specialization in Prosthetist. The healthcare provider is registered in the NPI registry with number 1053950303 assigned on January 2020. The practitioner's primary taxonomy code is 224P00000X with license number 1992 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1053950303
- Provider Name
- MR. BILLY GORDON LP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4001 ROSS AVE APT 111 DALLAS, TX 75204
- Location Phone
- (321) 217-9297
- Mailing Address
- 4001 ROSS AVE APT 111 DALLAS, TX 75204
- Mailing Phone
- (321) 217-9297
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-04-2020
- Last Update Date
- 08-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetist
- Taxonomy Code
- 224P00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1992
- License State
- TX
- Taxonomy Description
- A 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.
Medicare Participation & PECOS Enrollment Status
Billy Gordon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053950303, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053950303, enumerated as an "individual" on January 04, 2020.
The provider is located at 4001 ROSS AVE APT 111 DALLAS, TX 75204 and the phone number is (321) 217-9297.
Prosthetist with taxonomy code 224P00000X.
