ADVANCE ORTHOTICS & PROSTHETICS (NPI# 1083899041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083899041 |
| Entity Type | Organization |
| Organization Name | ADVANCE ORTHOTICS & PROSTHETICS |
| Practice Address |
510 22nd Ave E Ste 801 Alexandria MN 56308-4653 |
| Practice Telephone | 3207622210 |
| Practice Fax Number | 3207622753 |
| Mailing Telephone | 3207622210 |
| Mailing Fax Number | 3207622753 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. DAVID MICHAEL ELLIS (CHIEF MANAGER/PRACTITIONER) |
| Authorized Official Telephone | 3207622210 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
510 22ND AVE E STE 801 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053376459 | Barbara L. Dolezal | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2006-04-19 |
| 1407212210 | Zachary Maas | Chiropractor | 510 22nd Ave E, Ste. 701, Alexandria, MN 56308-4653 | 2016-01-08 |
| 1376966721 | Alexandria Chiropractic LLC | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2014-01-21 |
| 1598041956 | Benjamin Sear Whitten | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2011-10-31 |
| 1720274129 | David Michael Ellis | Orthotist | 510 22nd Ave E, Suite# 801 Advance Orthotics & Prosthetics, Alexandria, MN 56308-4653 | 2007-09-19 |
| 1427102722 | Kimberly Ann Rauk | Dentist | 510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653 | 2007-01-23 |
| 1902861339 | Central Lakes Chiropractic Clinic PC | Chiropractor | 510 22nd Ave E, Suite 701, Alexandria, MN 56308-4653 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| 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 |
|---|---|---|---|---|
| 1265804462 | Dynamic Orthotic Services, Inc. | Prosthetic/Orthotic Supplier | 201 E Fourth St, Suite 3g, Alexandria, LA 71301-8421 | 2015-10-27 |
| 1770621922 | Abana Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 1419 Peterman Dr, Alexandria, LA 71301-3433 | 2007-02-01 |
| 1366593022 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1404 Jackson St, Alexandria, LA 71301-6931 | 2007-01-16 |
| 1659374916 | Marvelles Apparel Inc | Prosthetic/Orthotic Supplier | 1804 S. Broadway, Ste #160, Alexandria, MN 56308 | 2005-05-31 |
| 1467832741 | Dr. Farhan M. Qureshi Dds PC | Prosthetic/Orthotic Supplier | 5206 Dawes Ave, Alexandria, VA 22311-1404 | 2015-06-02 |
| 1528243508 | Gladys Rea Smith | Prosthetic/Orthotic Supplier | 50 S Pickett St, Suite 210, Alexandria, VA 22304-7207 | 2008-01-08 |
| 1770639767 | Gladys Rea Smith | Prosthetic/Orthotic Supplier | 50 S Pickett St, Suite 210, Alexandria, VA 22304-7206 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578648 | Kanika Lanese Baker | Prosthetic/Orthotic Supplier | 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 | 2020-11-05 |
| 1932758067 | David Allen Young | Prosthetic/Orthotic Supplier | 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 | 2019-09-11 |
| 1073080230 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 | 2018-10-25 |
| 1760998165 | Abilitech Medical, Inc. | Prosthetic/Orthotic Supplier | 628 Pine St, Saint Paul, MN 55130-4421 | 2017-12-20 |
| 1003351990 | Arise Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 | 2016-12-30 |
| 1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
| 1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
| 1326483264 | Prosthetic Specialties LLC | Prosthetic/Orthotic Supplier | 13143 Lake Place Rd, Zimmerman, MN 55398-9567 | 2013-05-06 |
| 1427300706 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 | 2012-10-10 |
| 1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on ADVANCE ORTHOTICS & PROSTHETICS.
| 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.