Amputee Care Center,Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AMPUTEE CARE CENTER,INC.

Practice address

9780 Lantern Rd
Suite 140
Fishers, IN 46037-4092

Phone

(317) 598-9557

Fax

(317) 598-2611

NPI assigned

Nov 7, 2005

Last updated

Apr 20, 2008By 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. Mark T Damico, C.P.

Title

President/Certified Prosthetist

Phone

(317) 598-9557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275514440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 LANTERN RD",
            "address_2": "SUITE 140",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374092",
            "telephone_number": "317-598-9557",
            "fax_number": "317-598-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 LANTERN RD",
            "address_2": "SUITE 140",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374092",
            "telephone_number": "317-598-9557",
            "fax_number": "317-598-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPUTEE CARE CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CERTIFIED PROSTHETIST",
        "authorized_official_telephone_number": "317-598-9557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.