Active NPI
Randy Rosenquist, CPO
- Prosthetist
- Missoula, MT
National Provider Identifier
1174814404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2145 South Ave W
Missoula, MT 59801-6503 - Phone
- (406) 327-9200
- Fax
- (406) 327-0653
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary | ||
| Orthotic Fitter | 225000000X |
Addresses
Primary practice location
2145 South Ave W
Missoula, MT 59801-6503
Mailing address
1700 N Chrisman Rd
Tracy, CA 95304-9314
Phone (800) 726-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth Medical Equipment, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oxygen Equipment & Supplies (DME)
- Dartmouth, MA
- NPI 1871595835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1174814404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N CHRISMAN RD",
"city": "TRACY",
"state": "CA",
"postal_code": "953049314",
"telephone_number": "800-726-9180",
"fax_number": "209-834-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 SOUTH AVE W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016503",
"telephone_number": "406-327-9200",
"fax_number": "406-327-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENQUIST",
"first_name": "RANDY",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-20",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.