Organization Active NPI

Sunrise Orthotics & Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Keene, NH
National Provider Identifier
1760295703
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUNRISE ORTHOTICS & PROSTHETICS, LLC
Practice address
40 Mechanic St
Keene, NH 03431-3421
Phone
(603) 854-8094
Fax
(603) 389-6007
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Nate Smiley
Title
Member
Phone
(603) 854-8094

Specialties & licenses 1

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

Addresses

Primary practice location

40 Mechanic St
Keene, NH 03431-3421

Mailing address

45 Londonderry Tpke Ste 5
Hooksett, NH 03106-2046
Phone (603) 854-8094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428003591 NH DME Supplier - Certified Orth/Pros/Pedorthist 8628318060 Practice locations: Keene, NH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Orthotics Prosthetics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45 Londonderry Tpke
Ste 5
Hooksett, NH 03106
Phone (603) 402-6586

4 John Tyler St
Merrimack, NH 03054
Phone (603) 321-6387

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1760295703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LONDONDERRY TPKE STE 5",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062046",
            "telephone_number": "603-854-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313421",
            "telephone_number": "603-854-8094",
            "fax_number": "603-389-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-854-8094"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.