Organization Active NPI

Arise Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Spring Lake Park, MN
National Provider Identifier
1003351990
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ARISE ORTHOTICS & PROSTHETICS, INC.
Practice address
8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364
Phone
(763) 755-9500
Fax
(763) 755-9510
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Therese Kuffel
Title
Vice President
Phone
(763) 755-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364

Mailing address

8338 Highway 65 NE
Suite E
Spring Lake Park, MN 55432-1364
Phone (763) 755-9500

Other identifiers 1

IdentifierTypeStateIssuer
376627000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170522002506 MN DME Supplier - Medical Supply Company With Orthotic-Prosthetic 9537364328 Practice locations: Spring Lake Park, MN

National Provider Directory

National Provider Directory

Locations

1680 94th Ln NE
Blaine, MN 55449
Phone (763) 746-9524

11855 Ulysses St NE
Ste 230
Minneapolis, MN 55434
Phone (763) 755-9500

8338 Highway 65 NE
Ste E
Spring Lake Park, MN 55432
Phone (763) 755-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1003351990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 HIGHWAY 65 NE",
            "address_2": "SUITE E",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321364",
            "telephone_number": "763-755-9500",
            "fax_number": "763-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 HIGHWAY 65 NE",
            "address_2": "SUITE E",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321364",
            "telephone_number": "763-755-9500",
            "fax_number": "763-755-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "KUFFEL",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-755-9500"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376627000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.