Active NPI
Jason Alexander Leal, CPO
- Prosthetist
- Bullhead City, AZ
National Provider Identifier
1396066460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909 - Phone
- (928) 299-3130
- Fax
- (928) 299-3131
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909
Mailing address
1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909
Phone (928) 234-7114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.L. Artificial Limb & Brace LLC | Orthotist | Current | Accepting new patients |
Locations
1744 Highway 95
Ste 2
Bullhead City, AZ 86442
1730 Highway 95
Ste 10
Bullhead City, AZ 86442
Phone (928) 299-3130
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1396066460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 HIGHWAY 95 STE 10",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426909",
"telephone_number": "928-234-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 HIGHWAY 95 STE 10",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426909",
"telephone_number": "928-299-3130",
"fax_number": "928-299-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "JASON",
"middle_name": "ALEXANDER",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.