Greater Flint Prosthetic Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GREATER FLINT PROSTHETIC CENTER

Practice address

2255 S Linden Rd
Flint, MI 48532-5417

Phone

(810) 720-2555

Fax

(810) 720-2551

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rex Windsor Miller, C.P.NPI 1346271640

Title

President

Phone

(810) 720-2555

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Rex Windsor Miller, C.P.

  • Prosthetist
  • Flint, MI
  • NPI 1346271640
  NPD (past) Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1699975896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325417",
            "telephone_number": "810-720-2555",
            "fax_number": "810-720-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325417",
            "telephone_number": "810-720-2555",
            "fax_number": "810-720-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FLINT PROSTHETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "WINDSOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-2555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4264132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85OB50516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Recovery Mission, LLC
• Great Lakes Recovery Mission, LLC
• Great Lakes Teleradiology Ventures LLC
• Great Lakes Urgent Care Center PC
• Greater Flint Health Coalition
• Greater Genesee County Aco
• Greater Than Love Independence LLC
• Green Specialty Pharmacy (Benzer Pharmacy)
• Anna Grace Green-Soriano
• Bethany Green, LMSW

• Prosthetic/Orthotic Supplier in Flint, MI
• Providers in Flint, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.