J.L. Artificial Limb & Brace LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

J.L. ARTIFICIAL LIMB & BRACE LLC

Practice address

1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909

Phone

(928) 299-3130

Fax

(928) 299-3131

NPI assigned

Jul 6, 2021

Last updated

Jun 22, 2023By 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

Jason Alexander Leal, CPONPI 1396066460

Title

Owner

Phone

(928) 299-3130

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

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.

• Jason Alexander Leal, CPO

  • Prosthetist
  • Bullhead City, AZ
  • NPI 1396066460

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1740851385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 HIGHWAY 95 STE 10",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426909",
            "telephone_number": "928-234-7114",
            "fax_number": "928-299-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 HIGHWAY 95 STE 10",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426909",
            "telephone_number": "928-299-3130",
            "fax_number": "928-299-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.L. ARTIFICIAL LIMB & BRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-299-3130",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Prosthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.