NPIMap

Organization Active NPI

Sunrise Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Nashua, NH
National Provider Identifier
1295209484
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUNRISE ORTHOTICS & PROSTHETICS, LLC
Practice address
27 Technology Way Ste 2E6
Nashua, NH 03060-3245
Phone
(603) 854-8094
Fax
(603) 389-6007
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Nathaniel Smiley, COA
Title
Member
Phone
(603) 854-8094

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

27 Technology Way Ste 2E6
Nashua, NH 03060-3245

Mailing address

35 Woodfield St
Nashua, NH 03062-2066
Phone (603) 891-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731000734 NH DME Supplier - Certified Orth/Pros/Pedorthist 8628318060 Practice locations: Merrimack, NH

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Orthotics Prosthetics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4 John Tyler St
Merrimack, NH 03054
Phone (603) 321-6387

27 Technology Way
Ste 2E6
Nashua, NH 03060
Phone (603) 854-8094

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1295209484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WOODFIELD ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622066",
            "telephone_number": "603-891-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TECHNOLOGY WAY STE 2E6",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603245",
            "telephone_number": "603-854-8094",
            "fax_number": "603-389-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-854-8094",
        "authorized_official_credential": "COA"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.