NPIMap

Organization Active NPI

Farrell Prosthetics LLC

  • Prosthetist
  • Wauwatosa, WI
National Provider Identifier
1730164534
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
FARRELL PROSTHETICS LLC
Practice address
1011 N Mayfair Rd
Suite 100
Wauwatosa, WI 53226-3431
Phone
(414) 259-1950
Fax
(414) 259-1533
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Dennis Michael Farrell, CPNPI 1376083402
Title
Owner
Phone
(414) 259-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

1011 N Mayfair Rd
Suite 100
Wauwatosa, WI 53226-3431

Mailing address

1011 N Mayfair Rd
Suite 100
Wauwatosa, WI 53226-3431
Phone (414) 259-1950

Other identifiers 1

IdentifierTypeStateIssuer
41788400MedicaidWI

National Provider Directory

National Provider Directory

Locations

1011 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 259-1950

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1730164534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-259-1950",
            "fax_number": "414-259-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-259-1950",
            "fax_number": "414-259-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRELL PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-259-1950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41788400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.