Organization Active NPI

Center for Prosthetics Orthotics, Inc.

  • Prosthetics Case Management
  • Kirkland, WA
National Provider Identifier
1770792145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
PS00000002 Issued in WA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1508056599
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)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9015561MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.