Organization Active NPI

Promet Inc

  • Prosthetic/Orthotic Supplier
  • Bloomington, MN
National Provider Identifier
1316277890
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1122 Issued in MN
Legal business name
PROMET INC
Practice address
7920 12TH Ave S
Bloomington, MN 55425-1013
Phone
(952) 814-0225
Fax
(952) 814-0226
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mr. David W. Krueger, C.PED
Title
President
Phone
(952) 814-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1122 MN Primary

Addresses

Primary practice location

7920 12TH Ave S
Bloomington, MN 55425-1013

Mailing address

7920 12TH Ave S
Bloomington, MN 55425-1013
Phone (952) 814-0225

Other identifiers 1

IdentifierTypeStateIssuer
41697700MedicaidWI

National Provider Directory

National Provider Directory

Locations

7920 12th Ave S
Bloomington, MN 55425
Phone (952) 814-0225

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1316277890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 12TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251013",
            "telephone_number": "952-814-0225",
            "fax_number": "952-814-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 12TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251013",
            "telephone_number": "952-814-0225",
            "fax_number": "952-814-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-814-0225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MN",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41697700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.