Nevada Orthotics & Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NEVADA ORTHOTICS & PROSTHETICS INC

Practice address

2250 Postal Dr Ste 7
Pahrump, NV 89048-4798

Phone

(702) 233-5500

Fax

(702) 233-2131

NPI assigned

Sep 7, 2013

Organization subpart

No

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

Authorized official

Name

Petra Thiessen, CFM

Title

Operations Manager

Phone

(702) 233-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nevada Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • North Las Vegas, NV
  • NPI 1255664165

  6709086473

  Same PAC ID
• Nevada Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1487291688

  6709086473

  Same PAC ID

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

Tax ID family

Nevada Orthotics Prosthetics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nevada Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • North Las Vegas, NV
  • NPI 1255664165
  NPD tax ID
• Nevada Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1487291688
  NPD tax ID

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1457786543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W CHEYENNE AVE",
            "address_2": "SUITE 102",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328206",
            "telephone_number": "702-233-5500",
            "fax_number": "702-233-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 POSTAL DR STE 7",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484798",
            "telephone_number": "702-233-5500",
            "fax_number": "702-233-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ORTHOTICS & PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-07",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "THIESSEN",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "702-233-5500",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457786543",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stepheni J. Nelson
• Alesandra Ness
• Nevada CVS Pharmacy LLC (CVS Pharmacy #08789)
• Nevada Em-I Silver-Homansky Medical Services Professional Corporation
• Nevada Health Centers, Inc (Pahrump Family Health Center)
• Nevada Sleep Diagnostics, Inc.
• Nevada Southern Detention Center
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• New Perspectives Behavioral Health LLC

• Prosthetic/Orthotic Supplier in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.