Jenco Medical Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JENCO MEDICAL INCORPORATED

Doing business as

Utah Prosthetics & Orthotics

Practice address

2202 N. Main St #102
Cedar City, UT 84721

Phone

(435) 383-9000

Fax

(435) 383-9003

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matthew R. Bracken, C.P.O

Title

Owner/Practitioner

Phone

(435) 383-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Utah Prosthetics & Orthotics Doing business as

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1366652844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N MAIN ST. #102",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "435-383-9000",
            "fax_number": "435-383-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N. MAIN ST #102",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "435-383-9000",
            "fax_number": "435-383-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCO MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "435-383-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870299464008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utah Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Anne Jakus
• Samantha James
• Duane Jarvis, LCSW
• Mackenzie Lee Hoyt Jefferson
• Aubrey Jeffery
• Izabell Jensen
• Jennifer Louise Jensen, ACHMC
• Josi Kelly Jensen, CNM
• Kyra Jensen
• Leslie Jenson, LMFT

• Durable Medical Equipment & Medical Supplies in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.