Allied Family Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ALLIED FAMILY PROSTHETICS, LLC

Practice address

1104 Main St
Longmont, CO 80501-3823

Phone

(303) 776-6700

Fax

(303) 776-6708

NPI assigned

Feb 1, 2007

Last updated

Nov 19, 2007By 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

Jon C. Harlan, BS, CP

Title

Manager

Phone

(303) 776-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1376681478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013823",
            "telephone_number": "303-776-6700",
            "fax_number": "303-776-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013823",
            "telephone_number": "303-776-6700",
            "fax_number": "303-776-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED FAMILY PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-776-6700",
        "authorized_official_credential": "BS, CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32653077",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Longmont, CO
• Providers in Longmont, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.