NPIMap

Organization Active NPI

Precision Orthotics & Prosthetics

  • Customized Equipment (DME)
  • Las Vegas, NV
National Provider Identifier
1619279411
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1003167500 Issued in NV
Legal business name
PRECISION ORTHOTICS & PROSTHETICS
Practice address
501 S Rancho Dr Ste I58
Las Vegas, NV 89106-4838
Phone
(702) 293-5502
NPI assigned
Nov 30, 2010
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jimmy Colson, C.ONPI 1518109909
Title
C.E.O
Phone
(702) 743-5179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1003167500 NV Primary

Addresses

Primary practice location

501 S Rancho Dr Ste I58
Las Vegas, NV 89106-4838

Mailing address

501 S Rancho Dr Ste I58
Las Vegas, NV 89106-4838
Phone (702) 293-5502

Other identifiers 1

IdentifierTypeStateIssuer
100509314MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Precision Orthotics Prosthetics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 S Rancho Dr
Ste 8B
Las Vegas, NV 89106
Phone (702) 243-7671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1619279411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE I58",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064838",
            "telephone_number": "702-293-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE I58",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064838",
            "telephone_number": "702-293-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "702-743-5179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "1003167500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509314",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.