Organization Active NPI

Prosthetic Artists, Inc.

  • Prosthetic/Orthotic Supplier
  • Folsom, CA
National Provider Identifier
1669863114
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
07-322-13 Issued in CA
Legal business name
PROSTHETIC ARTISTS, INC.
Practice address
2575 E Bidwell St Ste 240
Folsom, CA 95630-6447
Phone
(916) 485-4249
Fax
(734) 800-3723
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Eric Matthew LindseyNPI 1013232131
Title
President/Ceo
Phone
(916) 485-4249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1700X
Prosthetic/Orthotic Supplier 335E00000X 07-322-13 CA Primary

Addresses

Primary practice location

2575 E Bidwell St Ste 240
Folsom, CA 95630-6447

Mailing address

2575 E Bidwell St Ste 240
Folsom, CA 95630-6447
Phone (916) 485-4249

Other practice location 1

3170 Jerves St Ste B
Lihue, HI 96766-3113
Phone (916) 485-4249

Other practice location 2

300 N 5th Ave Ste 130
Ann Arbor, MI 48104-1447
Phone (916) 485-4249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509000483 CA DME Supplier - Ocularist 2961701297 Practice locations: Folsom, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prosthetic Artists Folsom2575 E Bidwell St, Folsom, CA 95630-6447(916) 485-4249 Facial Prostheses|Ocular Prostheses Does not accept assignmentParticipating since May 9, 2016

National Provider Directory

National Provider Directory

Locations

2575 E Bidwell St
Ste 240
Folsom, CA 95630
Phone (916) 485-4249

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1669863114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST STE 240",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306447",
            "telephone_number": "916-485-4249",
            "fax_number": "734-800-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST STE 240",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306447",
            "telephone_number": "916-485-4249",
            "fax_number": "734-800-3723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Jerves St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967663113",
            "country_code": "US",
            "telephone_number": "916-485-4249",
            "fax_number": "916-485-4389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N 5th Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041447",
            "country_code": "US",
            "telephone_number": "916-485-4249",
            "fax_number": "734-800-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROSTHETIC ARTISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-485-4249"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "07-322-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.