Advanced Orthopedic Alliance

Key facts

NPI

1154820397

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

ADVANCED ORTHOPEDIC ALLIANCE

Practice address

415 S Front St
Memphis, TN 38103-6404

Phone

(901) 485-4491

NPI assigned

Feb 2, 2018

Organization subpart

No

Authorized official

Name

David J. Ambrosia

Title

President

Phone

(901) 485-4491

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2018.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1154820397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 RIVERBEND RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438659",
            "telephone_number": "901-485-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S FRONT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381036404",
            "telephone_number": "901-485-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDIC ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "AMBROSIA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-485-4491"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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