Maine Artificial Limb & Orthotics

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

MAINE ARTIFICIAL LIMB & ORTHOTICS

Practice address

959 Brighton Ave
Portland, ME 04102-1020

Phone

(207) 773-4963

NPI assigned

Jul 2, 2006

Reactivated

May 21, 2009

Last updated

May 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc Nicholas Karn, C.P.

Title

C.E.O.

Phone

(207) 773-4963

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1306875208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021020",
            "telephone_number": "207-773-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021020",
            "telephone_number": "207-773-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE ARTIFICIAL LIMB & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-05-21",
        "deactivation_date": "2008-10-30",
        "reactivation_date": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KARN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "207-773-4963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106660000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine Access Immigrant Network
• Maine Acute Care Medicine, PLLC
• Maine Anesthesia Partners LLC
• Maine Anesthesia Services LLC
• Maine Anesthesiology
• Maine Axis Care
• Maine Behavioral Healthcare
• Maine Behavioral Healthcare
• Maine Center on Deafness
• Maine Centers for Healthcare Physical Therapy

• Prosthetist in Portland, ME
• Providers in Portland, ME by specialty
• Prosthetist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.