Prosthetic Center, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC CENTER, INC.

Practice address

1200 S Washington Ave
Lansing, MI 48910-1651

Phone

(517) 372-7007

Fax

(517) 372-0261

NPI assigned

Aug 15, 2005

Last updated

Mar 29, 2011By 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

Mr. Ronald W. Junttonen, C.P.

Title

President

Phone

(517) 372-7007

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1467454959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489101651",
            "telephone_number": "517-372-7007",
            "fax_number": "517-372-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489101651",
            "telephone_number": "517-372-7007",
            "fax_number": "517-372-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "JUNTTONEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-372-7007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD",
            "identifier": "650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "520C303120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD/NPN",
            "identifier": "52547",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P58725",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOIC",
            "identifier": "P58725",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Lansing, MI
• Providers in Lansing, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.