Active NPI
Superior Prosthetic Solutions Inc.
- Prosthetic/Orthotic Supplier
- Newport, KY
National Provider Identifier
1801855754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SUPERIOR PROSTHETIC SOLUTIONS INC.
- Practice address
- 901 Monmouth St
Newport, KY 41071-2114 - Phone
- (859) 491-0257
- Fax
- (859) 491-4042
- NPI assigned
- Mar 20, 2006
- 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. J. Robert Pinkston, CPO/L
- Title
- President
- Phone
- (859) 491-0257
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | LPO 200 | OH | |
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
901 Monmouth St
Newport, KY 41071-2114
Mailing address
901 Monmouth St
Newport, KY 41071-2114
Phone (859) 491-0257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90011255 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033667 | KY | DME Supplier - Orthotic Personnel | 6901014703 | Practice locations: Newport, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Superior Prosthetic Solutions Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
901 Monmouth St
Newport, KY 41071
Phone (859) 491-0257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1801855754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONMOUTH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712114",
"telephone_number": "859-491-0257",
"fax_number": "859-491-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONMOUTH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712114",
"telephone_number": "859-491-0257",
"fax_number": "859-491-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR PROSTHETIC SOLUTIONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "PINKSTON",
"authorized_official_first_name": "J.",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-491-0257",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO/L"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OH",
"license": "LPO 200",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90011255",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.