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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: July 19, 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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Reviews for CHENGETAI BEVERLY MATENGENZARA

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Frequently Asked Questions

What is Chengetai Matengenzara's NPI number?

The NPI number assigned to this healthcare provider is 1710447388, enumerated as an "individual" on March 20, 2019.

Where is the provider located?

The provider is located at 18950 MARSH LN APT 208 DALLAS, TX 75287 and the phone number is (214) 659-1138.

What is the provider's specialty?

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.