Pro Medical LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRO MEDICAL LLC

Practice address

7304 S Alton Way
Suite a
Centennial, CO 80112-2314

Phone

(303) 779-0830

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Frank Wesley Wainright

Title

Distributor Princiapl

Phone

(303) 779-0830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1417191628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 S ALTON WAY",
            "address_2": "SUITE A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122314",
            "telephone_number": "303-779-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 S ALTON WAY",
            "address_2": "SUITE A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122314",
            "telephone_number": "303-779-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "WAINRIGHT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DISTRIBUTOR PRINCIAPL",
        "authorized_official_telephone_number": "303-779-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Centennial, CO
• Providers in Centennial, 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 May 1, 2009; 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.