Organization Active NPI

Orthopro of Carson City, Inc.

  • Prosthetic/Orthotic Supplier
  • Carson City, NV
National Provider Identifier
1285632034
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO 01406
Legal business name
ORTHOPRO OF CARSON CITY, INC.
Practice address
415 W Sophia St
Suite #200
Carson City, NV 89703-8804
Phone
(775) 841-0660
Fax
(775) 841-0606
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mr. Rodney D. Miller, CPO
Title
President
Phone
(775) 841-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPO 01406 Primary

Addresses

Primary practice location

415 W Sophia St
Suite #200
Carson City, NV 89703-8804

Mailing address

415 W Sophia St
Suite #200
Carson City, NV 89703-8804
Phone (775) 841-0660

Other identifiers 1

IdentifierTypeStateIssuer
100502019MedicaidNV

National Provider Directory

National Provider Directory

Locations

415 W Sophia St
Ste 200
Carson City, NV 89703
Phone (775) 841-0660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1285632034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W SOPHIA ST",
            "address_2": "SUITE #200",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038804",
            "telephone_number": "775-841-0660",
            "fax_number": "775-841-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W SOPHIA ST",
            "address_2": "SUITE #200",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038804",
            "telephone_number": "775-841-0660",
            "fax_number": "775-841-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO OF CARSON CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-841-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPO 01406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502019",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.