North Metro Orthotics and Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTH METRO ORTHOTICS AND PROSTHETICS, INC

Practice address

3111 124TH Ave NW
Suite 210
Coon Rapids, MN 55433-4572

Phone

(763) 323-6921

Fax

(763) 323-6940

NPI assigned

Jan 30, 2009

Organization subpart

Yes

Parent organization

NORTH METRO ORTHOTICS AND PROSTHETICS, INCAs reported in NPPES

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

Authorized official

Name

Jessica Dehaven

Title

Corporate Secretary

Phone

(763) 784-6647

Specialties & licenses 1

Addresses

Part of

North Metro Orthotics and Prosthetics Inc

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1356589113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 UNIVERSITY AVE NE",
            "address_2": "SUITE 310",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321847",
            "telephone_number": "763-784-6647",
            "fax_number": "763-784-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 124TH AVE NW",
            "address_2": "SUITE 210",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334572",
            "telephone_number": "763-323-6921",
            "fax_number": "763-323-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO ORTHOTICS AND PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH METRO ORTHOTICS AND PROSTHETICS, INC",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DEHAVEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "763-784-6647"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.