Organization Active NPI

Advanced Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Simpsonville, SC
National Provider Identifier
1649425349
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
19076 Issued in SC
Legal business name
ADVANCED PROSTHETICS, INC
Practice address
400 SE Main St Ste E
Simpsonville, SC 29681-2693
Phone
(864) 963-8000
Fax
(864) 963-5400
NPI assigned
Nov 21, 2008
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PROSTHETICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Mrs. Michelle A McGaha
Title
Office Manager
Phone
(864) 859-4709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X 19076 SC Primary

Addresses

Primary practice location

400 SE Main St Ste E
Simpsonville, SC 29681-2693

Mailing address

400 SE Main St Ste E
Simpsonville, SC 29681-2693
Phone (864) 963-8000

Other identifiers 1

IdentifierTypeStateIssuer
DE3403MedicaidSC

National Provider Directory

National Provider Directory
Part of
Advanced Prosthetics Inc

Locations

400 SE Main St
Ste E
Simpsonville, SC 29681
Phone (864) 963-8000

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1649425349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SE MAIN ST STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812693",
            "telephone_number": "864-963-8000",
            "fax_number": "864-963-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SE MAIN ST STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812693",
            "telephone_number": "864-963-8000",
            "fax_number": "864-963-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PROSTHETICS, INC",
        "enumeration_date": "2008-11-21",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MCGAHA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-859-4709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "19076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3403",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.