Organization Active NPI

Restorative Prosthetics, LLC.

  • Customized Equipment (DME)
  • Knoxville, TN
National Provider Identifier
1851763130
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
RESTORATIVE PROSTHETICS, LLC.
Practice address
11002 Kingston Pike Ste 204
Knoxville, TN 37934-2829
Phone
(865) 288-7188
Fax
(865) 288-7178
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Ms. McKenzie Wampler, M.S.
Title
Owner/Clinician
Phone
(865) 405-9133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

11002 Kingston Pike Ste 204
Knoxville, TN 37934-2829

Mailing address

11002 Kingston Pike Ste 204
Knoxville, TN 37934-2829
Phone (865) 288-7188

National Provider Directory

National Provider Directory

Locations

11002 Kingston Pike
Ste 204
Knoxville, TN 37934
Phone (865) 288-7188

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1851763130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 KINGSTON PIKE STE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342829",
            "telephone_number": "865-288-7188",
            "fax_number": "865-288-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 KINGSTON PIKE STE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342829",
            "telephone_number": "865-288-7188",
            "fax_number": "865-288-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PROSTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "WAMPLER",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "865-405-9133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.