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NEVADA ORTHOTICS & PROSTHETICS INC NPI 1255664165


NPI Information

NPI: 1255664165
Provider Name: NEVADA ORTHOTICS & PROSTHETICS, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3435 W CHEYENNE AVE
SUITE 102
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 233-5500
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NEVADA ORTHOTICS & PROSTHETICS, INC is a prosthetic orthotic supplier in North Las Vegas, NV. 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. NEVADA ORTHOTICS & PROSTHETICS, INC NPI is 1255664165. The provider is registered as an organization entity type.

The provider's business location address is:

3435 W CHEYENNE AVE
SUITE 102
NORTH LAS VEGAS, NV
ZIP 89032-206
Phone: (702) 233-5500
Fax: (702) 233-2131

The provider's authorized official is Petra Thiessen .
The authorized official title is Operations Manager and has the following contact phone number (702) 233-5500.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 10/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255664165MEDICAIDNEVADA
2CPO02365OTHERDELAWAREAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS INC.
3MP00636OTHERNEVADANEVADA STATE BOARD OF PHARMACY, MEDICAL DEVICES, EQUIPTMENT, GAS LICENSE

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: 4/28/2024

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