Active NPI
Ian Kenton Engelman, M.S. CPO
- Prosthetic/Orthotic Supplier
- Falmouth, ME
National Provider Identifier
1225869696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 367 US Route 1 Ste 2-South
Falmouth, ME 04105-1350 - Phone
- (207) 430-1014
- NPI assigned
- Aug 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | ME | Primary |
Addresses
Primary practice location
367 US Route 1 Ste 2-South
Falmouth, ME 04105-1350
Mailing address
367 US Route 1 Ste 2-South
Falmouth, ME 04105-1350
Phone (207) 430-1014
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1225869696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 US ROUTE 1 STE 2-SOUTH",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051350",
"telephone_number": "207-430-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 US ROUTE 1 STE 2-SOUTH",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051350",
"telephone_number": "207-430-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMAN",
"first_name": "IAN",
"middle_name": "KENTON",
"credential": "M.S. CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.