Jenco Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JENCO PROSTHETICS & ORTHOTICS, LLC

Practice address

7026 South Commerce Park Dr
Suite 2
Midvale, UT 84047-1026

Phone

(801) 566-5795

Fax

(801) 566-5790

NPI assigned

May 24, 2010

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick HiteNPI 1124266473

Title

Owner

Phone

(801) 566-5795

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Hite

  • Durable Medical Equipment & Medical Supplies
  • Midvale, UT
  • NPI 1124266473
  Authorized official Same address or phone

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1205155777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 SOUTH COMMERCE PARK DR",
            "address_2": "SUITE 2",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471031",
            "telephone_number": "801-566-5795",
            "fax_number": "801-566-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 SOUTH COMMERCE PARK DR",
            "address_2": "SUITE 2",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471026",
            "telephone_number": "801-566-5795",
            "fax_number": "801-566-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCO PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-566-5795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Elene Jacobsen, RN
• Alexis James
• Jamstan P C (Presley Orthodontics Family & Cosmetic Dentistry)
• Janus RX LLC
• Jenco Medical, Inc. (Utah Prosthetics and Orthotics)
• McKenzi Jean Jenkins
• Jennifer Fairbourn LMFT, LLC (Cottonwood Creek Counseling)
• Joseph Dean Jensen, MD
• Krystynna Jensen
• Sarah Rebecca Jensen, LMT, MMP

• Prosthetic/Orthotic Supplier in Midvale, UT
• Providers in Midvale, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.