Active NPI
Northstar Prosthetics
- Prosthetic/Orthotic Supplier
- Spencer, WI
National Provider Identifier
1306744081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- NORTHSTAR PROSTHETICS
- Practice address
- 415 W Cedar St
Spencer, WI 54479-4401 - Phone
- (651) 908-8791
- NPI assigned
- Oct 30, 2026
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Vanderbosch, CP
- Title
- Founder
- Phone
- (651) 908-8791
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
415 W Cedar St
Spencer, WI 54479-4401
Mailing address
415 W Cedar St
Spencer, WI 54479-4401
Phone (651) 908-8791
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Prosthetist
- River Falls, WI
- NPI 1740192335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1306744081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W CEDAR ST",
"city": "SPENCER",
"state": "WI",
"postal_code": "544794401",
"telephone_number": "651-908-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W CEDAR ST",
"city": "SPENCER",
"state": "WI",
"postal_code": "544794401",
"telephone_number": "651-908-8791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-30",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "VANDERBOSCH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "651-908-8791",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.