JL ORTHOPEDIC SPECIALTIES, INC. (NPI# 1255440335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255440335 |
| Entity Type | Organization |
| Organization Name | JL ORTHOPEDIC SPECIALTIES, INC. |
| Other Organization Name | ORTHOPEDIC SPECIALTIES, INC. |
| Practice Address |
2467 S Telshor Blvd Las Cruces NM 88011-5049 |
| Practice Telephone | 5755225773 |
| Mailing Telephone | 5755225773 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | JAMES E. LEE (CEO) |
| Authorized Official Telephone | 5755225773 |
| Authorized Official Credential | CO, LO |
| Is Organization Subpart | Y |
| Parent Organization Name | JL ORTHOPEDIC SPECIALTIES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | T7077 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic Specialties, Inc. | Doing Business As Name - Organization |
| Street Address |
2467 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003143660 | Southwest Center On Aging | Internal Medicine | 2467 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| 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 |
|---|---|---|---|---|
| 1881951614 | Jose Alberto Alvarado | Prosthetic/Orthotic Supplier | 2465 Bataan Memorial W, Suite # 3, Las Cruces, NM 88012-5039 | 2012-04-18 |
| 1225101561 | Charlotte's Fashions, LLC | Prosthetic/Orthotic Supplier | 1900 S Telshor Blvd, Las Cruces, NM 88011-4898 | 2006-11-16 |
| 1043603228 | Orthopedic Services-kids LLC | Prosthetic/Orthotic Supplier | 2465 Bataan Memorial W, Unit 2, Las Cruces, NM 88012-5039 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347358 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se Ste C, Albuquerque, NM 87108-2939 | 2019-03-27 |
| 1831653831 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 4824 Mcmahon Blvd Nw Ste 112, Albuquerque, NM 87114-5412 | 2019-01-24 |
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1548679897 | Functional Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5111 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2672 | 2014-08-11 |
| 1104187855 | Lower Extremity International LLC | Prosthetic/Orthotic Supplier | 9428 Lexington Ave Ne Suite E, Albuquerque, NM 87112-1375 | 2012-05-30 |
| 1639488588 | Estetica De Ella Salon (cranial Prosthesis) | Prosthetic/Orthotic Supplier | 2510 San Mateo Pl Ne, Albuquerque, NM 87110-4064 | 2010-09-27 |
| 1528276318 | Albuquerque Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 4909 Ellison St Ne, Suite A, Albuquerque, NM 87109-4331 | 2007-05-18 |
| 1558581603 | Rocky Mountain Artificial Limb and Brace Inc | Prosthetic/Orthotic Supplier | 307 S Lake St, Farmington, NM 87401-5619 | 2007-04-30 |
| 1225192396 | Betty Rae Snipes | Prosthetic/Orthotic Supplier | 1013 Pile St, Clovis, NM 88101-5940 | 2006-12-21 |
| 1881771491 | Sanders Orthopedic Brace & Limb, LLC | Prosthetic/Orthotic Supplier | 2522 W Pierce St, Carlsbad, NM 88220-3565 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.