Northern Prosthetics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NORTHERN PROSTHETICS

Practice address

117 Academy Street
Presque Isle, ME 04769-3000

Phone

(207) 768-5348

Fax

(207) 540-1337

NPI assigned

Nov 12, 2008

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cory John Laplante, C.PNPI 1912196718

Title

Owner/Officer

Phone

(207) 768-5348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Cory Laplante, CP

  • Prosthetic/Orthotic Supplier
  • Presque Isle, ME
  • NPI 1912196718
  NPD (past) Authorized official

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1366696627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ACADEMY STREET",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693000",
            "telephone_number": "207-768-5348",
            "fax_number": "207-540-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ACADEMY STREET",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693000",
            "telephone_number": "207-768-5348",
            "fax_number": "207-540-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LAPLANTE",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "207-768-5348",
        "authorized_official_credential": "C.P"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olurotimi Odimayo, DMD
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• Vicky Leah Ouellette-Sperrey, FNP-C
• Arlene S. Ouellette, MHRT-CSP

• Customized Equipment (DME) in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Customized Equipment (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.