NPIMap

Organization Active NPI

The Winkley Company

Doing business as Winkley Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Golden Valley, MN
National Provider Identifier
1881679629
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE WINKLEY COMPANY
Doing business as
Winkley Orthotics and Prosthetics
Practice address
740 Douglas Dr N
Golden Valley, MN 55422-4301
Phone
(763) 546-1177
Fax
(763) 847-9508
NPI assigned
Dec 14, 2005
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Mr. Alexander Peter Gruman, CO
Title
President
Phone
(763) 546-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

740 Douglas Dr N
Golden Valley, MN 55422-4301

Mailing address

740 Douglas Dr N
Golden Valley, MN 55422-4301
Phone (763) 546-1177

Other identifiers 3

IdentifierTypeStateIssuer
41776500MedicaidWI
589862500MedicaidMN
01622WIOtherMNBC/BS PROVIDER

Other names 1

  • Winkley Orthotics and Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075701 MN DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 8921125071 Practice locations: Golden Valley, MN

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Winkley Orthotics & Prosthetics740 Douglas Dr N, Golden Valley, MN 55422-4301(763) 546-1177 Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Winkley Orthopedic Lab8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1881679629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DOUGLAS DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224301",
            "telephone_number": "763-546-1177",
            "fax_number": "763-847-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DOUGLAS DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224301",
            "telephone_number": "763-546-1177",
            "fax_number": "763-847-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WINKLEY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "GRUMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-546-1177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41776500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589862500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER",
            "identifier": "01622WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winkley Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winkley Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.