District Amputee Care Center, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DISTRICT AMPUTEE CARE CENTER, LLC

Practice address

730 24TH St NW Ste 11
Washington, DC 20037-2591

Phone

(202) 338-0770

Fax

(202) 315-3176

NPI assigned

Mar 12, 2014

Last updated

Dec 21, 2022By 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

David Christian Fenton

Title

Owner Operator

Phone

(202) 338-0770

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1598181703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 24TH ST NW STE 11",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372591",
            "telephone_number": "202-338-0770",
            "fax_number": "202-315-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 24TH ST NW STE 11",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372591",
            "telephone_number": "202-338-0770",
            "fax_number": "202-315-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT AMPUTEE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "202-338-0770"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042760100",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1030109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "4417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• District Collaborative Counseling, PLLC
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• District Counseling L.L.C.
• District Dental Group

• Prosthetic/Orthotic Supplier in Washington, DC
• Providers in Washington, DC by specialty
• Prosthetic/Orthotic Supplier in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.