Active NPI
Michael Vincent Bolton, CO
- Prosthetist
- Albany, NY
National Provider Identifier
1578686283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 350 Northern Blvd
Suite 101
Albany, NY 12204-1000 - Phone
- (518) 472-1023
- Fax
- (518) 472-1024
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
350 Northern Blvd
Suite 101
Albany, NY 12204-1000
Mailing address
350 Northern Blvd
Suite 101
Albany, NY 12204-1000
Phone (518) 472-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1578686283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041000",
"telephone_number": "518-472-1023",
"fax_number": "518-472-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041000",
"telephone_number": "518-472-1023",
"fax_number": "518-472-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.