Active NPI
Center for Prosthetics Orthotics, Inc.
- Prosthetics Case Management
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- PS00000002
- Legal business name
- CENTER FOR PROSTHETICS ORTHOTICS, INC.
- Practice address
- 12911 120TH Ave NE
Suite E 10
Kirkland, WA 98034-3027 - Phone
- (206) 328-4276
- Fax
- (206) 328-1037
- NPI assigned
- May 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Varnau, C.P.O., L.P.O.
- Title
- President
- Phone
- (206) 328-4276
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | PS00000002 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE
Suite E 10
Kirkland, WA 98034-3027
Mailing address
12911 120TH Ave NE
Suite E 10
Kirkland, WA 98034-3027
Phone (206) 328-4276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015561 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
12911 120th Ave NE
Ste E10
Kirkland, WA 98034
Phone (206) 328-4276
411 12th Ave
Ste 200
Seattle, WA 98122
Phone (206) 328-4276
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.
-
- Prosthetics Case Management
- Seattle, WA
- NPI 1508056599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770792145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE E 10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "206-328-4276",
"fax_number": "206-328-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE E 10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "206-328-4276",
"fax_number": "206-328-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PROSTHETICS ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VARNAU",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-328-4276",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O., L.P.O."
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "WA",
"license": "PS00000002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015561",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.