Rio Grande Orthotics and Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RIO GRANDE ORTHOTICS AND PROSTHETICS

Doing business as

Advanced Prosthetics and Orthotics

Practice address

4824 McMahon Blvd NW Ste 112
Albuquerque, NM 87114-5412

Phone

(505) 508-5996

Fax

(505) 508-5488

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Forest Sexton

Title

Member

Phone

(541) 531-0439

Specialties & licenses 1

Addresses

Other names 1

• Advanced Prosthetics and Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rio Grande Orthotics and Prosthetics

  dba Advanced Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Albuquerque, NM
  • NPI 1578009296

  3678781937

  Same PAC ID
• Rio Grande Orthotics and Prosthetics

  dba Advanced Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Santa Fe, NM
  • NPI 1972680593

  3678781937

  Same PAC ID

Locations

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1831653831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-820-2390",
            "fax_number": "505-820-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW STE 112",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412",
            "telephone_number": "505-508-5996",
            "fax_number": "505-508-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "FOREST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-531-0439"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rio Grande Mental Health PLLC
• Rio Grande Midwifery
• Rio Grande Neuroscience LLC
• Rio Grande Oral and Maxillofacial Surgery, P.C.
• Rio Grande Orthotics and Prosthetics (Advanced Prosthetics and Orthotics)
• Rio Grande Renal Care, LLC
• Rio Grande Smiles LLC
• Rio Grande Speech, Voice and Swallowing, LLC
• Rio Grande TMS
• Rio Hive LLC (BeeHive Homes)

• Prosthetic/Orthotic Supplier in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Prosthetic/Orthotic Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.