Organization Active NPI

Orthopro of Elko Inc

  • Prosthetic/Orthotic Supplier
  • Elko, NV
National Provider Identifier
1306847413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHOPRO OF ELKO INC
Practice address
997 Court St
Elko, NV 89801-3942
Phone
(775) 778-0507
Fax
(775) 778-0987
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David A Blackman, CPONPI 1679903512
Title
Owner Practitioner
Phone
(775) 778-0507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

997 Court St
Elko, NV 89801-3942

Mailing address

997 Court St
Elko, NV 89801-3942
Phone (775) 778-0507

National Provider Directory

National Provider Directory

Locations

997 Court St
Elko, NV 89801
Phone (775) 778-0507

Practitioners & affiliated clinicians

Practitioners 1

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": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306847413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 COURT ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013942",
            "telephone_number": "775-778-0507",
            "fax_number": "775-778-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 COURT ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013942",
            "telephone_number": "775-778-0507",
            "fax_number": "775-778-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO OF ELKO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRACTITIONER",
        "authorized_official_telephone_number": "775-778-0507",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.