Organization Active NPI

Concord Prosthetics and Orthotics

Prosthetic/Orthotic Supplier
Concord, MA

National Provider Identifier

1437338522

Registry record updated Dec 17, 2007

On this page

Key facts
NPPES NPI Registry
National Provider Directory
Practitioners & affiliated clinicians
NPI Registry JSON
Other providers in Concord, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name: CONCORD PROSTHETICS AND ORTHOTICS
Practice address: 801 Main St
Suite 8
Concord, MA 01742-3313
Phone: (978) 371-1684
Fax: (978) 371-7504
NPI assigned: Oct 25, 2007
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name: Nicholas P GrigorieffNPI 1558408740
Title: Owner
Phone: (978) 371-1684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Prosthetic/Orthotic Supplier	335E00000X			Primary

Addresses

Primary practice location

801 Main St
Suite 8
Concord, MA 01742-3313

Mailing address

801 Main St
Suite 8
Concord, MA 01742-3313
Phone (978) 371-1684

Other identifiers 8

Identifier	Type	State	Issuer
1531484	Medicaid	MA
96949701	Other	MA	NETWORK HEALTH
30003020	Medicaid	NH
711116	Other	MA	TUFTS
6340	Other	MA	FALLON
700626	Other	MA	HARVARD PILGRIM
151560000	Medicaid	ME
277754	Other	MA	BLUE CROSS BLUE SHIELD

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Nicholas P Grigorieff
- Orthotic Fitter
- Concord, MA
- NPI 1558408740
NPD (past) Authorized official

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1437338522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MAIN ST",
            "address_2": "SUITE 8",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423313",
            "telephone_number": "978-371-1684",
            "fax_number": "978-371-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAIN ST",
            "address_2": "SUITE 8",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423313",
            "telephone_number": "978-371-1684",
            "fax_number": "978-371-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "GRIGORIEFF",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-371-1684"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531484",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "96949701",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003020",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "711116",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "6340",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700626",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151560000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "277754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.