NPIMap

Organization Active NPI

Advanced Arm Dynamics of Minnesota

  • Prosthetic/Orthotic Supplier
  • Maple Grove, MN
National Provider Identifier
1346533577
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADVANCED ARM DYNAMICS OF MINNESOTA
Practice address
11671 Fountains Dr
Suite 220
Maple Grove, MN 55369-4711
Phone
(763) 420-2767
Fax
(763) 322-1982
NPI assigned
May 20, 2011
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Mr. John M Miguelez, CP, FAAOP (D)NPI 1750450169
Title
President
Phone
(310) 372-3050

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

11671 Fountains Dr
Suite 220
Maple Grove, MN 55369-4711

Mailing address

123 W Torrance Blvd
Suite 203
Redondo Beach, CA 90277-3610
Phone (310) 372-3050

Other identifiers 1

IdentifierTypeStateIssuer
1011OtherMNSTATE LICENCE

National Provider Directory

National Provider Directory

Locations

11671 Fountains Dr N
Ste 220
Maple Grove, MN 55369
Phone (763) 420-2767

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1346533577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W TORRANCE BLVD",
            "address_2": "SUITE 203",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773610",
            "telephone_number": "310-372-3050",
            "fax_number": "310-372-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 FOUNTAINS DR",
            "address_2": "SUITE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694711",
            "telephone_number": "763-420-2767",
            "fax_number": "763-322-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ARM DYNAMICS OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MIGUELEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-372-3050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, FAAOP (D)"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "1011",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.