Organization Active NPI

The International Trader LLC

  • Prosthetic/Orthotic Supplier
  • Scottsdale, AZ
National Provider Identifier
1669603452
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE INTERNATIONAL TRADER LLC
Practice address
7147 E Rancho Vista Dr
Suite B-35
Scottsdale, AZ 85251-1492
Phone
(480) 463-0900
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Jaschon Van Proctor
Title
President
Phone
(480) 463-0900

Specialties & licenses 2

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

Addresses

Primary practice location

7147 E Rancho Vista Dr
Suite B-35
Scottsdale, AZ 85251-1492

Mailing address

7147 E Rancho Vista Dr
Suite B-35
Scottsdale, AZ 85251-1492
Phone (480) 463-0900

Other names 1

  • Artistic Prosthetics & DME Doing business as

National Provider Directory

National Provider Directory

Locations

7147 E Rancho Vista Dr
Ste B35
Scottsdale, AZ 85251
Phone (480) 444-8184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1669603452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 E RANCHO VISTA DR",
            "address_2": "SUITE B-35",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511492",
            "telephone_number": "480-463-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7147 E RANCHO VISTA DR",
            "address_2": "SUITE B-35",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511492",
            "telephone_number": "480-463-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INTERNATIONAL TRADER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "JASCHON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-463-0900"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artistic Prosthetics & DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.