Jenco Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JENCO PROSTHETICS & ORTHOTICS, LLC

Practice address

1153 N Main St
Suite B-140
Logan, UT 84341-2495

Phone

(435) 750-6579

Fax

(801) 566-5790

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Patrick Hite

Title

Owner

Phone

(801) 566-5795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1851612725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 N MAIN ST",
            "address_2": "SUITE B-140",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412495",
            "telephone_number": "435-750-6579",
            "fax_number": "801-566-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 N MAIN ST",
            "address_2": "SUITE B-140",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412495",
            "telephone_number": "435-750-6579",
            "fax_number": "801-566-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCO PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-566-5795"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayci K Jamison
• Lauren Jarvie
• Claire Bown Jarvis
• Jcnorman, Inc.
• Jenco Medical, Inc.
• Alysha K. Jenkins, NNP
• Bret Ira Jenkins
• Jensen Solutions, LLC
• Benjamin Benoni Jensen, D.C.
• Heather Jo Jensen, AU.D.

• Prosthetic/Orthotic Supplier in Logan, UT
• Providers in Logan, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.