Active NPI
Bionic Prosthetics and Orthotics Group LLC
- Prosthetic/Orthotic Supplier
- Gilbert, AZ
National Provider Identifier
1851916217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 633 E Ray Rd Ste 111
Gilbert, AZ 85296-4202 - Phone
- (480) 299-5177
- Fax
- (312) 268-5389
- NPI assigned
- Jun 11, 2020
- Last updated
- Jul 24, 2020
- 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
- Sumesh Saxena, CP, BOCO
- Title
- Owner
- Phone
- (219) 791-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
633 E Ray Rd Ste 111
Gilbert, AZ 85296-4202
Mailing address
3803 E Lincoln Hwy
Merrillville, IN 46410-5809
Phone (219) 791-9200
National Provider Directory
National Provider DirectoryLocations
633 E Ray Rd
Gilbert, AZ 85296
Phone (480) 264-2647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1851916217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 E LINCOLN HWY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105809",
"telephone_number": "219-791-9200",
"fax_number": "312-268-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E RAY RD STE 111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964202",
"telephone_number": "480-299-5177",
"fax_number": "312-268-5389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "SAXENA",
"authorized_official_first_name": "SUMESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-791-9200",
"authorized_official_credential": "CP, BOCO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.