NPIMap

Organization Active NPI

Sky Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Benkelman, NE
National Provider Identifier
1649499690
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO 2571 Issued in VA
Legal business name
SKY PROSTHETICS INC
Practice address
503 Chief St
Benkelman, NE 69021-3065
Phone
(308) 423-2690
Fax
(308) 423-2691
NPI assigned
Apr 25, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Benjamin Wayne Blecha, C.P.O.NPI 1588683577
Title
Owner President
Phone
(308) 423-2690

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
Prosthetic/Orthotic Supplier 335E00000X CPO 2571 VA Primary

Addresses

Primary practice location

503 Chief St
Benkelman, NE 69021-3065

Mailing address

503 Chief St
Benkelman, NE 69021-3065
Phone (308) 423-2690

Other identifiers 4

IdentifierTypeStateIssuer
100025425600MedicaidNE
0000118447OtherKSBLUE CROSS BLUE SHIELD
1659570MedicaidCO
09904OtherNEBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1649499690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CHIEF ST",
            "city": "BENKELMAN",
            "state": "NE",
            "postal_code": "690213065",
            "telephone_number": "308-423-2690",
            "fax_number": "308-423-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CHIEF ST",
            "city": "BENKELMAN",
            "state": "NE",
            "postal_code": "690213065",
            "telephone_number": "308-423-2690",
            "fax_number": "308-423-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BLECHA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "308-423-2690",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CPO 2571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100025425600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000118447",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659570",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "09904",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benkelman, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.