Complete Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COMPLETE PROSTHETICS & ORTHOTICS LLC

Practice address

9632 W Emerald St Ste a
Boise, ID 83704-9762

Phone

(208) 609-6526

NPI assigned

Aug 29, 2023

Last updated

Sep 25, 2023By 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

Janene Maughan

Title

Clinic Admin

Phone

(208) 609-6526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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.

• Gunnar Harrison Maughan, MSPO, CPO

  • Prosthetic/Orthotic Supplier
  • Boise, ID
  • NPI 1164121562
  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1407631310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 W EMERALD ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049762",
            "telephone_number": "208-609-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 W EMERALD ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049762",
            "telephone_number": "208-609-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "JANENE",
        "authorized_official_title_or_position": "CLINIC ADMIN",
        "authorized_official_telephone_number": "208-609-6526"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compacity Counseling, LLC
• Companionship LLC
• Bryan Keith Comparato, D.C.
• Complete Care Audiology Inc. (Boise Speech and Hearing Clinic)
• Complete Embodiment Wellness
• Complete Therapy Solutions, PLLC
• Completeness Counseling
• Comprehensive Health Associates
• Comprehensive Health Associates PLLC
• Erin Cole Compton, NP

• Prosthetic/Orthotic Supplier in Boise, ID
• Providers in Boise, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.