Organization Active NPI

Superior Prosthetic Solutions Inc.

  • Prosthetic/Orthotic Supplier
  • Newport, KY
National Provider Identifier
1801855754
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Dec 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90011255MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033667 KY DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 6901014703 Practice locations: Newport, KY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Superior Prosthetic Solutions Inc901 Monmouth St, Newport, KY 41071-2114(859) 491-0257 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 assignmentParticipating since Feb 20, 2004

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.