CUSTOM CARBON COMPOSITE CREATIONS (NPI# 1427321769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427321769 |
| Entity Type | Organization |
| Organization Name | CUSTOM CARBON COMPOSITE CREATIONS |
| Other Organization Name | CENTER FOR INDEPENDENT REHABILITATIVE SERVICES, INC. |
| Practice Address |
6490 S Mccarran Blvd Suite D-38 Reno NV 89509-6165 |
| Practice Telephone | 7758239669 |
| Practice Fax Number | 7758239931 |
| Mailing Telephone | 7758239669 |
| Mailing Fax Number | 7758239931 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | EDDIE ROGERS (PRESIDENT) |
| Authorized Official Telephone | 2098452930 |
| Authorized Official Credential | C.P.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Center for Independent Rehabilitative Services, Inc. | Doing Business As Name - Organization |
| Street Address |
6490 S MCCARRAN BLVD SUITE D-38 |
| City | RENO |
| State | NV |
| Zip Code | 89509-6165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806680 | Tara Leigh Lemay Finley | Acupuncturist | 6490 S Mccarran Blvd, Ste B16, Reno, NV 89509 | 2005-07-26 |
| 1831719475 | Kayley Phillips | Behavioral Analyst | 6490 S Mccarran Blvd, Reno, NV 89509-6165 | 2020-04-23 |
| 1770064271 | Diagnostic Pathology Medical Group Inc | Pathology | 6490 S Mccarran Blvd, Bldge E Ste 106, Reno, NV 89509 | 2018-08-23 |
| 1194100123 | Sierra Treasures Inc | In Home Supportive Care | 6490 S Mccarran Blvd, Suite C-19, Reno, NV 89509-6165 | 2015-07-20 |
| 1386026177 | Tiffany Sullivan | Specialist | 6490 S Mccarran Blvd, F52, Reno, NV 89509-6165 | 2015-06-29 |
| 1215275888 | Christopher C Hock | Dentist | 6490 S Mccarran Blvd, Suite A9, Reno, NV 89509-6165 | 2013-01-16 |
| 1548537327 | Justin H Foster | Orthotist | 6490 S Mccarran Blvd, Suite D38, Reno, NV 89509-6165 | 2011-11-22 |
| 1649582107 | Richard Joseph Mcguffin Jr. | Marriage & Family Therapist | 6490 S Mccarran Blvd, Bldg. D-2, Suite 28, Reno, NV 89509-6165 | 2010-07-12 |
| 1619291200 | Lucy J Shafner | Massage Therapist | 6490 S Mccarran Blvd, Suite B-15, Reno, NV 89509-6165 | 2010-03-25 |
| 1619204021 | Bobbi Nemovicher P.C. | Social Worker | 6490 S Mccarran Blvd, Ste D1-28, Reno, NV 89509-6165 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| 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 |
|---|---|---|---|---|
| 1891101051 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 961 Matley Ln, Ste 160, Reno, NV 89502-2188 | 2014-07-09 |
| 1487910261 | D Danz & Sons Inc | Prosthetic/Orthotic Supplier | 2500 E. 2nd St, Reno, NV 89595-0002 | 2012-04-06 |
| 1528324514 | Ability Prosthetics and Orthotics of Nevada, LLC | Prosthetic/Orthotic Supplier | 309 Kirman Ave, Ste A, Reno, NV 89502 | 2012-04-04 |
| 1366749657 | Lori Shannon Robertson | Prosthetic/Orthotic Supplier | 5000 Smithridge Dr, B2, Reno, NV 89502-5653 | 2011-02-22 |
| 1528363512 | Danielle Chung | Prosthetic/Orthotic Supplier | 10490 Chadwell Dr, Reno, NV 89521-4205 | 2011-01-21 |
| 1487984217 | T & R Rose,llc. | Prosthetic/Orthotic Supplier | 3 N Virginia St, Reno, NV 89501-1403 | 2009-12-29 |
| 1811085012 | Franc Enterprises | Prosthetic/Orthotic Supplier | 8175 S Virginia St, Suite B800, Reno, NV 89511-8922 | 2006-10-11 |
| 1891807244 | Acadian Rehab, Inc. | Prosthetic/Orthotic Supplier | 175 S Park St, Reno, NV 89502-1049 | 2006-08-31 |
| 1306892336 | Reno Orthopedic Appliance | Prosthetic/Orthotic Supplier | 314 Vassar St, Reno, NV 89502-2910 | 2006-05-25 |
| 1487075438 | Orthopro of Reno Inc | Prosthetic/Orthotic Supplier | 487 Casazza Dr, Reno, NV 89502-3388 | 2013-12-18 |
| Find all providers in RENO | ||||
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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.