Organization Active NPI

Bionic Prosthetics and Orthotics Group LLC

  • Prosthetic/Orthotic Supplier
  • Gilbert, AZ
National Provider Identifier
1851916217
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.