NPIMap

Organization Active NPI

Mercado Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Keene, NH
National Provider Identifier
1174274203
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MERCADO ORTHOTICS & PROSTHETICS
Practice address
580 Court Street
Level la
Keene, NH 03431-1718
Phone
(603) 354-5400
Fax
(888) 494-1402
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Mrs. Audrey Edith Moore
Title
Owner
Phone
(413) 750-9915

Specialties & licenses 1

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

Addresses

Primary practice location

580 Court Street
Level la
Keene, NH 03431-1718

Mailing address

PO Box 15108
Springfield, MA 01115-5108
Phone (413) 750-9915

National Provider Directory

National Provider Directory
Tax ID family
Mercado Orthotics Prosthetics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1174274203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15108",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011155108",
            "telephone_number": "413-750-9915",
            "fax_number": "877-331-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT STREET",
            "address_2": "LEVEL LA",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718",
            "telephone_number": "603-354-5400",
            "fax_number": "888-494-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-750-9915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.