Active NPI
3E Enterprises, LLC
- Prosthetist
- Dunbar, WV
National Provider Identifier
1538749700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- 3E ENTERPRISES, LLC
- Doing business as
- Burdette Prosthetics
- Practice address
- 1214 Grosscup Ave
Dunbar, WV 25064-3024 - Phone
- (304) 881-7141
- Fax
- (681) 317-7590
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chester Arthur Burdette, CPO
- Title
- Owner
- Phone
- (304) 881-7141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1214 Grosscup Ave
Dunbar, WV 25064-3024
Mailing address
1214 Grosscup Ave
Dunbar, WV 25064-3024
Phone (304) 881-7141
Other names 1
- Burdette Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210610000807 | WV | DME Supplier - Prosthetic Personnel | 4183024334 | Practice locations: Dunbar, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 3E Enterprises LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1214 Grosscup Ave
Dunbar, WV 25064
Phone (304) 768-3332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1538749700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 GROSSCUP AVE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643024",
"telephone_number": "304-881-7141",
"fax_number": "681-317-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 GROSSCUP AVE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643024",
"telephone_number": "304-881-7141",
"fax_number": "681-317-7590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3E ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-12",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "BURDETTE",
"authorized_official_first_name": "CHESTER",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-881-7141",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burdette Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.