Active NPI
Liston Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LISTON PROSTHETICS, LLC
- Practice address
- 5292 S College Dr Ste 103
Murray, UT 84123-2959 - Phone
- (385) 425-3960
- Fax
- (385) 425-3965
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James William Liston, CP
- Title
- Certified Prosthetist
- Phone
- (385) 425-3960
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
5292 S College Dr Ste 103
Murray, UT 84123-2959
Mailing address
5292 S College Dr Ste 103
Murray, UT 84123-2959
Phone (385) 425-3960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903001146 | UT | DME Supplier - Prosthetic Personnel | 4183953037 | Practice locations: Murray, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Liston Prosthetics | Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
5292 S College Dr
Ste 103
Salt Lake City, UT 84123
Phone (385) 425-3960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Murray, UT
- NPI 1104396217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1669935292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5292 S COLLEGE DR STE 103",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232959",
"telephone_number": "385-425-3960",
"fax_number": "385-425-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5292 S COLLEGE DR STE 103",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232959",
"telephone_number": "385-425-3960",
"fax_number": "385-425-3965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISTON PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "LISTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CERTIFIED PROSTHETIST",
"authorized_official_telephone_number": "385-425-3960",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.