MUNGER PROSTHETICS AND ORTHOTICS INC NPI 1235144619

NPI Information

NPI: 1235144619
Provider Name: MUNGER PROSTHETICS AND ORTHOTICS, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Former Legal Business Name: TREVOR DALE MUNGER, CPO/MUNGER PROSTHETICS AND ORTHOTICS
Address: 5701 LAKE OTIS PKWY STE 400
ANCHORAGE, AK
ZIP 99507
Phone: (907) 743-9991

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NPI Details

MUNGER PROSTHETICS AND ORTHOTICS, INC is a prosthetic orthotic supplier in Anchorage, AK. The provider is 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. MUNGER PROSTHETICS AND ORTHOTICS, INC NPI is 1235144619. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Trevor Dale Munger, Cpo/munger Prosthetics And Orthotics.

The provider's business location address is:

5701 LAKE OTIS PKWY STE 400
ANCHORAGE, AK
ZIP 99507-778
Phone: (907) 743-9991
Fax: (907) 743-9992

The provider's authorized official is Trevor Dale Munger .
The authorized official title is President and has the following contact phone number (907) 743-9991.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		CPO 1700	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PO4651	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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