Organization Active NPI

Cornerstone Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Bellingham, WA
National Provider Identifier
1295889053
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
600596756 Issued in WA
Legal business name
CORNERSTONE PROSTHETICS AND ORTHOTICS, INC
Practice address
3106 Northwest Ave
Bellingham, WA 98225-1608
Phone
(360) 734-0298
Fax
(360) 734-9679
NPI assigned
Jan 22, 2007
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
David J HughesNPI 1831416791
Title
President
Phone
(425) 339-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 600596756 WA Primary

Addresses

Primary practice location

3106 Northwest Ave
Bellingham, WA 98225-1608

Mailing address

1300 44TH St SE
Everett, WA 98203-2200
Phone (425) 339-2559

Other identifiers 7

IdentifierTypeStateIssuer
9018516MedicaidWA
9004717MedicaidWA
91118OtherWALABOR AND INDUSTRIES -P&O
CO7974OtherWAREGENCE - P & O
192166200OtherWAOWCP - P & O
2006747MedicaidWA
027038001OtherWAGROUP HEALTH - P & O

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000138 WA DME Supplier - Medical Supply Company With Orthotic-Prosthetic 8628195187 Practice locations: Bellingham, WA

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Cornerstone Prosthetics and Orthoti3106 Northwest Ave, Bellingham, WA 98225-1608(360) 734-0298 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Continuous Positive Airway Pressure (CPAP) Devices|Diabetic Shoes and Inser… Does not accept assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Prosthetics and Orthotics Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3106 Northwest Ave
Bellingham, WA 98225
Phone (360) 647-7766

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1295889053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 44TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032200",
            "telephone_number": "425-339-2559",
            "fax_number": "425-339-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 NORTHWEST AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251608",
            "telephone_number": "360-734-0298",
            "fax_number": "360-734-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-339-2559"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "600596756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9018516",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES -P&O",
            "identifier": "91118",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE - P & O",
            "identifier": "CO7974",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - P & O",
            "identifier": "192166200",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006747",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH - P & O",
            "identifier": "027038001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.