Organization Active NPI

3E Enterprises, LLC

  • Prosthetist
  • Dunbar, WV
National Provider Identifier
1538749700
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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

Updated by the provider on Jul 15, 2024

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)CodeLicenseStatePrimary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610000807 WV DME Supplier - Prosthetic Personnel 4183024334 Practice locations: Dunbar, WV

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
3E Enterprises LLC1214 Grosscup Ave, Dunbar, WV 25064-3024(304) 881-7141 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jun 9, 2021

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.