MR. CHAD BENTON KINCAID (NPI# 1588813315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588813315 |
| Entity Type | Individual |
| Full Name | MR. CHAD BENTON KINCAID |
| Credential | C.P. , P.T. |
| Practice Address |
1380 Monument Ct Fruita CO 81521-3053 |
| Practice Telephone | 9706392606 |
| Mailing Telephone | 9706392606 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CP003523 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225100000X | Physical Therapist | 5335 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1380 MONUMENT CT |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1700314036 | Sunee Kim Watts | Prosthetist | 7400 E Hampden Ave Unit C-5, Denver, CO 80231-4861 | 2017-05-31 |
| 1326034620 | Joseph L Johnson | Prosthetist | 561 E Garden Dr, Ste H, Windsor, CO 80550-3148 | 2005-09-22 |
| 1104425008 | Pawel Brozka | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1386243459 | Jordan Prindle | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-20 |
| 1144829219 | Todd Bush | Prosthetist | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2020-10-20 |
| 1245838523 | Prosthetic Care Clinic LLC | Prosthetist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-10-09 |
| 1649891805 | Melissa Stockwell | Prosthetist | 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 | 2020-04-29 |
| 1841859212 | Jason Paul Griffin | Prosthetist | 3955 E Exposition Ave Ste 102, Denver, CO 80209-5031 | 2019-06-10 |
| 1285121913 | Dennis Luse | Prosthetist | 3955 E. Exposition Ave., Suite #102, Denver, CO 80209 | 2018-04-18 |
| 1477040681 | William Teague | Prosthetist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-13 |
| 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.