Denham Orthotics and Fitness

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C15202 Issued in NV

Legal business name

DENHAM ORTHOTICS AND FITNESS

Doing business as

Evolve Prosthetics and Orthotics

Practice address

601 Whitney Ranch Dr
#C-17
Henderson, NV 89014-2642

Phone

(702) 898-6000

Fax

(702) 898-6080

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

David Kovach, CP,BOCONPI 1063759421

Title

President

Phone

(702) 898-6000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Evolve Prosthetics and Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Kovach, CP, BOCO

  • Prosthetist
  • Henderson, NV
  • NPI 1063759421
  NPD Authorized official
• David Denham, MS, CO

  • Orthotist
  • Henderson, NV
  • NPI 1609113067
  NPD (past)
• Robert Wayne Patti, MD

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1750311957
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1891751723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WHITNEY RANCH DR",
            "address_2": "#C-17",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142642",
            "telephone_number": "702-898-6000",
            "fax_number": "702-898-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WHITNEY RANCH DR",
            "address_2": "#C-17",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142642",
            "telephone_number": "702-898-6000",
            "fax_number": "702-898-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENHAM ORTHOTICS AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "KOVACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-898-6000",
        "authorized_official_credential": "CP,BOCO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "DE",
            "license": "CO003963",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "DE",
            "license": "CP003298",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NV",
            "license": "C15202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302256",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4385780001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Delucie
• Demartino Family Chiropractic
• Robert V. Demartino, D.C.
• Stephen Louis Demeter, MD
• Megan Lynn Demott, MSOT, OTR/L
• David Denham, MS, CO
• Anthony Denina, APRN
• Andrew Denney
• Amanda Denninger
• Jonelle Dennis

• Prosthetic/Orthotic Supplier in Henderson, NV
• Providers in Henderson, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.