Organization Active NPI

Alpine Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Montrose, CO
National Provider Identifier
1346245206
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CP823 Issued in CO
Legal business name
ALPINE PROSTHETICS AND ORTHOTICS
Practice address
902 S 4TH St
Montrose, CO 81401-4226
Phone
(970) 252-1956
Fax
(970) 252-1936
NPI assigned
Jun 16, 2005
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Thomas J Watson, CP
Title
Certified Prosthetist/Manager
Phone
(970) 252-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CP823 CO Primary

Addresses

Primary practice location

902 S 4TH St
Montrose, CO 81401-4226

Mailing address

902 S 4TH St
Montrose, CO 81401-4226
Phone (970) 252-1956

Other identifiers 1

IdentifierTypeStateIssuer
75724065MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1346245206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 4TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014226",
            "telephone_number": "970-252-1956",
            "fax_number": "970-252-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 4TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014226",
            "telephone_number": "970-252-1956",
            "fax_number": "970-252-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST/MANAGER",
        "authorized_official_telephone_number": "970-252-1956",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "CP823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75724065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.