Organization Active NPI

Bolt Ons

  • Prosthetic/Orthotic Supplier
  • Flagstaff, AZ
National Provider Identifier
1689268369
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BOLT ONS
Doing business as
Next Step Prosthetics
Practice address
123 W. Birch Ave
Ste 100
Flagstaff, AZ 86001
Phone
(928) 772-5777
Fax
(928) 271-8459
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Michael Kayser, CPO
Title
Clinician/Owner
Phone
(928) 255-8665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

123 W. Birch Ave
Ste 100
Flagstaff, AZ 86001

Mailing address

123 Birch Ave Suite 100
Flagstaff, AZ 86001
Phone (928) 772-5777

Other identifiers 1

IdentifierTypeStateIssuer
089633MedicaidAZ

Other names 1

  • Next Step Prosthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427000403 AZ DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 9335557602 Practice locations: Flagstaff, AZ

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
Bolt Ons123 W Birch Ave, Flagstaff, AZ 86001-4508(928) 772-5777 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 2, 2021

National Provider Directory

National Provider Directory

Locations

123 W Birch Ave
Flagstaff, AZ 86001

715 N Beaver St
Ste A
Flagstaff, AZ 86001
Phone (623) 322-5700

Interoperability endpoints

  • Direct secure messaging: mikekayser@lcmc.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1689268369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BIRCH AVE SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-772-5777",
            "fax_number": "928-271-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W. BIRCH AVE",
            "address_2": "STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-772-5777",
            "fax_number": "928-271-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT ONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-10-11",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "928-255-8665",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Next Step Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.