West Coast Prosthetics and Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

602115813 Issued in WA

Legal business name

WEST COAST PROSTHETICS AND ORTHOTICS, LLC

Practice address

2102 Carriage Dr SW
BLDG E
Olympia, WA 98502

Phone

(360) 956-3333

Fax

(360) 956-3339

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dale E Anderson, LCPONPI 1285695007

Title

Managing Member

Phone

(360) 956-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Dale E Anderson, LCPO

  • Prosthetist
  • Olympia, WA
  • NPI 1285695007
  NPD (past) Authorized official
• James Wright, CO

  • Orthotist
  • Olympia, WA
  • NPI 1669749941
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1023177110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1994",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985071994",
            "telephone_number": "360-956-3333",
            "fax_number": "360-956-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CARRIAGE DR SW",
            "address_2": "BLDG E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-956-3333",
            "fax_number": "360-956-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-956-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "602115813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9051483",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike David Werner, M.D.
• Heather Marie Wertz, LMP
• Laura Ann Wesen, LMP
• Jaiza Wesley
• Samantha J Wesley, AAC
• West Olympia Family Medicine Inc, PC
• West Olympia Internal Medicine PLLC
• West Olympia Pharmacy
• West Olympia Pharmacy
• West Olympia Psychiatry PLLC (Mary Schroeder ARNP)

• Prosthetic/Orthotic Supplier in Olympia, WA
• Providers in Olympia, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.