PROSTHETIC CARE CLINIC LLC (NPI# 1245838523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245838523 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC CARE CLINIC LLC |
| Practice Address |
6372 Kendall St Arvada CO 80003-5045 |
| Practice Telephone | 6309776496 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | JOHAN SMITH (CERTIFIED ORTHOTIST PROSTHETIST) |
| Authorized Official Telephone | 6309776469 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prosthetic Care Clinic LLC | 6372 Kendall Street, Arvada, CO 80003 |
| Street Address |
6372 KENDALL ST |
| City | ARVADA |
| State | CO |
| Zip Code | 80003-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069617 | Johan Michael Smith | Orthotist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625581 | Kymber Janelle Stephenson | Dietitian, Registered | 8120 Sheridan Blvd., Building C, Suite C-315, Westminister, CO 80003 | 2020-06-30 |
| 1023631330 | William Gaub | Counselor | 7585 W. 66th Ave, Bldg C, Arvada, CO 80003 | 2020-05-20 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| 1740799386 | Spirit of Knightingale Home Care LLC | In Home Supportive Care | 6120 West 70th Avenue, Arvada, CO 80003 | 2017-09-27 |
| 1063931640 | Above and Beyond Enterprises | Respite Care | 6432 West 78th Ave., Arvada, CO 80003 | 2017-09-14 |
| 1194246058 | Ascent Medical LLC | Psychiatry & Neurology | 5375 W 73rd Place, Westminster, CO 80003 | 2017-06-30 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1003296765 | Carrie Mirfield | Massage Therapist | 8725 Wadsworth Blvd., Ste A, Arvada, CO 80003 | 2015-06-08 |
| 1831595073 | Steven Maya | Counselor | 6455 Sheridan Blvd., #236, Arvada, CO 80003 | 2014-11-17 |
| 1912300476 | Christine Renee Bowles | Counselor | 8120 Sheridan Blvd, Building C, Suite 310, Building C, Suite 310, Westminster, CO 80003 | 2014-09-29 |
| Find all providers in zip 80003 | ||||
| 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 |
|---|---|---|---|---|
| 1275140022 | Mosaic Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 617 N 17th St # 102, Colorado Springs, CO 80904-3577 | 2020-09-25 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1942766290 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7800 E Orchard Rd Ste 120, Greenwood Village, CO 80111-2567 | 2019-02-12 |
| 1043783145 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 9351 Grant St Ste 650, Thornton, CO 80229-4358 | 2019-01-10 |
| 1053809467 | Hawaiian Jellys, LLC. | Prosthetic/Orthotic Supplier | 5477 Tiger Bend Ln, Morrison, CO 80465-9679 | 2018-05-01 |
| 1861997322 | Central Colorado Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 28350 County Road 317 Unit 8, Buena Vista, CO 81211-9261 | 2018-03-27 |
| 1467979856 | Horizon Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6810 Broadway, Denver, CO 80221-2860 | 2017-08-25 |
| 1447787239 | Hummel Orthotics | Prosthetic/Orthotic Supplier | 925 E Fillmore St, Colorado Springs, CO 80907-6315 | 2017-05-11 |
| 1912447053 | Style Shop | Prosthetic/Orthotic Supplier | 555 Twining Flats Rd, Aspen, CO 81611-3119 | 2017-03-07 |
| 1053859009 | Prosthetic & Orthotic Group - Southern Colorado, LLC | Prosthetic/Orthotic Supplier | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2017-02-09 |
| Find all providers with the same taxonomy | ||||
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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.