Active NPI
Hornell Hearn, PROSTHETIST
- Prosthetist
- Las Vegas, NV
National Provider Identifier
1619630860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2780 S Jones Blvd Ste 140
Las Vegas, NV 89146-5641 - Phone
- (800) 736-8276
- Fax
- (469) 844-2072
- NPI assigned
- Oct 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2780 S Jones Blvd Ste 140
Las Vegas, NV 89146-5641
Mailing address
1120 Saffex Rose Ave
Henderson, NV 89052-8720
Phone (775) 232-8093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO04014 | Other | DE | ABC CERTIFICATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | us_os_nprc_department@ottobock.com | Other |
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": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1619630860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SAFFEX ROSE AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890528720",
"telephone_number": "775-232-8093",
"fax_number": "469-844-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465641",
"telephone_number": "800-736-8276",
"fax_number": "469-844-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "HORNELL",
"credential": "PROSTHETIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC CERTIFICATE",
"identifier": "CPO04014",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "us_os_nprc_department@ottobock.com",
"affiliation": "N",
"endpointDescription": "private mailbox",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Communication",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2780 S Jones Blvd Ste 140",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891465641",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.