Precision Orthotics & Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRECISION ORTHOTICS & PROSTHETICS, LLC

Practice address

7350 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7407

Phone

(702) 243-7671

Fax

(702) 259-7671

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Aaron Kratohvil

Title

VP of Finance, Controller

Phone

(615) 550-8760

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pop Prosthetics Doing business as

Locations

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1073082392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064044",
            "telephone_number": "702-243-7671",
            "fax_number": "702-259-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297407",
            "telephone_number": "702-243-7671",
            "fax_number": "702-259-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "KRATOHVIL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "VP OF FINANCE, CONTROLLER",
        "authorized_official_telephone_number": "615-550-8760"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250010837",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5503020003",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pop Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.