Maguire Boonstra Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MAGUIRE BOONSTRA INC

Doing business as

Advanced Prosthetics Center

Practice address

355 W Anchor Dr
Dakota Dunes, SD 57049-5357

Phone

(605) 232-0066

Fax

(605) 232-2066

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Madigan Boonstra, CP

Title

President/Prosthetist

Phone

(605) 232-0066

Specialties & licenses 1

Addresses

Other names 1

• Advanced Prosthetics Center Doing business as

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1922331420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W ANCHOR DR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495357",
            "telephone_number": "605-232-0066",
            "fax_number": "605-232-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W ANCHOR DR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495357",
            "telephone_number": "605-232-0066",
            "fax_number": "605-232-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGUIRE BOONSTRA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "BOONSTRA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "MADIGAN",
        "authorized_official_title_or_position": "PRESIDENT/PROSTHETIST",
        "authorized_official_telephone_number": "605-232-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Prosthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marie Ludwig, DNP
• Wade Lukken, MD
• Suzanne R Lyman, CRNA
• Melvin Lynn, LMSW
• Lindsay Marie Macklem, RN
• Yorell Manon-Matos, MD
• Shania D Mardian, PA-C
• Rosa Maria Marquez, PA-C
• Brandon David Marreel, ATC; MA
• Douglas Wayne Martin, MD

• Prosthetic/Orthotic Supplier in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Prosthetic/Orthotic Supplier in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.