Active NPI
Advanced Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Simpsonville, SC
National Provider Identifier
1649425349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 19076
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- ADVANCED PROSTHETICS, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3403 | Medicaid | SC |
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.