Individual provider Active NPI

Jason Alexander Leal, CPO

  • Prosthetist
  • Bullhead City, AZ
National Provider Identifier
1396066460
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
J.L. Artificial Limb & Brace LLC Orthotist CurrentSince Jul 1, 2021 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.

Verify at the official NPI Registry.