Innovative Prosthetic Designs LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVATIVE PROSTHETIC DESIGNS LLC

Practice address

523 Lincoln Rd
Columbus, MS 39705-2225

Phone

(662) 240-9700

Fax

(662) 240-9928

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

John Vincent Ungaro, CP

Title

President

Phone

(662) 240-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1770535759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388210689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 LINCOLN RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052225",
            "telephone_number": "662-240-9700",
            "fax_number": "662-240-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETIC DESIGNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "UNGARO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-240-9700",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04057226",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hydeco LLC
• Christopher Lane Hynum, D.M.D.
• Imaging Center of Columbus, LLC
• Infinity Enterprise LLC
• Macarthur Inge
• Innovative Prosthetic Designs,LLC
• Integrity Drug Screening LLC
• Internal Medicine Associates of Columbus, P.C.
• Internal Medicine Association, P.C.
• Internal Medicine Clinic of Columbus LLC

• All providers in Columbus, MS
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.