Organization provider

OCEAN BLUE HOLDINGS, LLC

Clinic/Center Pharmacy Community/Retail Pharmacy Medicare enrolled

OCEAN BLUE HOLDINGS, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104307065, based in Burleson, TX. The organization lists 4 taxonomy classifications, with Clinic/Center recorded as primary.

Getting there

The practice address on file is 12333 BEAR PLZ STE 100, Burleson, TX 76028. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12333 BEAR PLZ STE 100, Burleson, TX 76028 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Mass Immunization (roster Biller Only)
PAC ID
7315355575

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinic/Center covers

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
Ambulatory Health Care Facilities Clinic/Center

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261Q00000X Clinic/Center primary
333600000X Pharmacy
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy
3336S0011X Specialty Pharmacy Specialty Pharmacy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104307065 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 28, 2018
Last updatedSep 11, 2024
StatusActive
Practice address 12333 BEAR PLZ STE 100
Burleson, TX 76028
(817) 789-4099
Fax (800) 616-4641
Other identifiers 150249 (TX)
This record was updated on Sep 11, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104307065 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 3 0 7 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 6 0 5 0 3

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104307065?
NPI 1104307065 is the National Provider Identifier assigned to OCEAN BLUE HOLDINGS, LLC in Burleson, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinic/Center cover?
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
How do I contact OCEAN BLUE HOLDINGS, LLC?
The phone number on file with NPPES is (817) 789-4099, last updated Sep 11, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does OCEAN BLUE HOLDINGS, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104307065 a valid number?
Yes. 1104307065 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.