New Mexico Prosthetic-Orthotic Center, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NEW MEXICO PROSTHETIC-ORTHOTIC CENTER, INC

Practice address

2515 N Kentucky Ave
Roswell, NM 88201-5807

Phone

(505) 623-0344

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Adam Dutchover, CPO

Title

Owner-President

Phone

(505) 623-0344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881699031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015807",
            "telephone_number": "505-623-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015807",
            "telephone_number": "505-623-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PROSTHETIC-ORTHOTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUTCHOVER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "505-623-0344",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Roswell, NM
• Providers in Roswell, NM by specialty
• Prosthetic/Orthotic Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.