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CHENGETAI BEVERLY MATENGENZARA
NPI 1710447388
Prosthetic/Orthotic Supplier in Dallas, TX

Active since March 20, 2019
18950 MARSH LN APT 208, DALLAS, TX 75287(214) 659-1138 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2021, Mar 20, 2019 (2 updates tracked since 2019).

About Chengetai Beverly Matengenzara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHENGETAI BEVERLY MATENGENZARA (NPI 1710447388) is an individual prosthetic/orthotic supplier provider in Dallas, Texas and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1710447388
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameCHENGETAI BEVERLY MATENGENZARA
Location Address18950 MARSH LN APT 208Dallas, TX 75287-2157
Mailing Address18950 Marsh Ln Apt 208Dallas, TX 75287-2157 · (214) 659-1138
Phone(214) 659-1138
Sole ProprietorYes
Enumeration DateMarch 20, 2019
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1710447388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
18950 MARSH LN APT 208, Dallas, TX 75287
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chengetai Matengenzara's NPI number?

The NPI number for Chengetai Matengenzara is 1710447388. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Chengetai Matengenzara located?

Chengetai Matengenzara practices at 18950 Marsh Ln Apt 208, Dallas, TX 75287. The listed phone number is (214) 659-1138.

What is Chengetai Matengenzara's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Chengetai Matengenzara was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.