Ultra Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

72165 Issued in NV

Legal business name

ULTRA PROSTHETICS

Practice address

20 Affonso Dr Ste G
Carson City, NV 89706-7794

Phone

(800) 858-7276

Fax

(775) 882-1561

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Daniel O Haney, C.P.

Title

Owner

Phone

(800) 858-7576

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Daniel O. Haney Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William A Bentley, BOCP, CFO, CPA

  • Prosthetist
  • Carson City, NV
  • NPI 1639430457
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1376624593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897212201",
            "telephone_number": "800-858-7276",
            "fax_number": "775-882-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AFFONSO DR STE G",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067794",
            "telephone_number": "800-858-7276",
            "fax_number": "775-882-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-858-7576",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NV",
            "license": "72165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESALE TAX NUMBER",
            "identifier": "037033838",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003313022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel O. Haney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Pamela Tyndall
• Whitney Tynes, LMFT
• Cynthia Ugarte, COA, OSA
• Ricardo Ugarte Jr., DPT
• Kaelyn Uken
• Glenda Faye Umali, MD
• Sarah M Underwood
• Jeffrey Dwight Upton, MD
• Urgent Care Association of Nevada, LLC
• Usacs Integrated Acute Care Services of Nevada Bagnoli P C

• Prosthetic/Orthotic Supplier in Carson City, NV
• Providers in Carson City, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.