Munger Prosthetics and Orthotics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO 1700 Issued in DE

Legal business name

MUNGER PROSTHETICS AND ORTHOTICS, INC

Practice address

5701 Lake Otis Pkwy Ste 400
Anchorage, AK 99507-1778

Phone

(907) 743-9991

Fax

(907) 743-9992

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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. Trevor Dale Munger, CPONPI 1962761973

Title

President

Phone

(907) 743-9991

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trevor Dale Munger, CPO/Munger Prosthetics and Orthotics Former legal business name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Munger Prosthetics and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Wasilla, AK
  • NPI 1821346065

  1052513389

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Munger Prosthetics and Orthotics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Munger Prosthetics and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Wasilla, AK
  • NPI 1821346065
  NPD tax ID

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.

• Trevor Dale Munger, CPO

  • Orthotist
  • Wasilla, AK
  • NPI 1962761973
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235144619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 LAKE OTIS PKWY STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071778",
            "telephone_number": "907-743-9991",
            "fax_number": "907-743-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LAKE OTIS PKWY STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071778",
            "telephone_number": "907-743-9991",
            "fax_number": "907-743-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNGER PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNGER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-743-9991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO 1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO4651",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trevor Dale Munger, CPO/Munger Prosthetics and Orthotics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bobbie Mumm
• Mary Kathryn Mumma, R.N.
• Ashley Mund, RBT
• Casaundra Faye Mundell, LPN
• George Mundy
• Thomas J Munger III, DDS
• Municipality of Anchorage (Anchorage Fire Department Area Wide EMS)
• Municipality of Anchorage
• Municipality of Anchorage Payroll
• Angela Margarita Munos

• Prosthetic/Orthotic Supplier in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Prosthetic/Orthotic Supplier in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.