MCMAHAN SHOES, INC. (NPI# 1780707786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780707786 |
| Entity Type | Organization |
| Organization Name | MCMAHAN SHOES, INC. |
| Practice Address |
3903 Gaston Ave Dallas TX 75246-1512 |
| Practice Telephone | 2148277921 |
| Practice Fax Number | 2148277926 |
| Mailing Telephone | 2148277921 |
| Mailing Fax Number | 2148277926 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CURTIS P MCMAHAN (CEO) |
| Authorized Official Telephone | 2148277921 |
| Authorized Official Credential | CERTIFIED PEDORT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 435 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124059886 | Mcmahan Shoes, Inc. | Durable Medical Equipment & Medical Supplies | 2122 N Decatur Rd, Decatur, GA 30033-5367 | 2006-07-05 |
| Street Address |
3903 GASTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1912535121 | Marvin Friedman | Prosthetic/Orthotic Supplier | 13601 Preston Rd Ste 205w, Dallas, TX 75240-4947 | 2020-04-01 |
| 1841780962 | Ashley Ferguson | Prosthetic/Orthotic Supplier | 1811 Greenville Ave Ste 100, Dallas, TX 75206-7485 | 2018-05-14 |
| 1902307937 | Myhair, LLC | Prosthetic/Orthotic Supplier | 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 | 2018-02-25 |
| 1326585506 | Tiffany Rodgers | Prosthetic/Orthotic Supplier | 6632 Mattney Dr, Dallas, TX 75237-2447 | 2017-01-25 |
| 1528469764 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1311 Record Crossing Rd, Dallas, TX 75235-6003 | 2014-09-08 |
| 1417244195 | Scott Sabolich Prosthetic and Research LLC | Prosthetic/Orthotic Supplier | 15900 Preston Rd, Dallas, TX 75248-3551 | 2011-07-01 |
| 1215262373 | Reliant Prosthetics | Prosthetic/Orthotic Supplier | 5481 Blair Rd Ste 100, Dallas, TX 75231-4101 | 2009-10-07 |
| 1760668552 | O & P Designs, Inc. | Prosthetic/Orthotic Supplier | 10525 Newkirk St, Suite 260, Dallas, TX 75220-2330 | 2008-01-11 |
| 1134326614 | Belt Line Medical Supply | Prosthetic/Orthotic Supplier | 7989 Belt Line Rd, Suite # 109, Dallas, TX 75248-5734 | 2007-06-28 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.