Organization Active NPI

Center for Prosthetics Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Seattle, WA
National Provider Identifier
1932309747
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
PS00000026 Issued in WA
Legal business name
CENTER FOR PROSTHETICS ORTHOTICS, INC.
Practice address
411 12TH Ave
Seattle, WA 98122-5577
Phone
(206) 328-4276
Fax
(206) 328-1037
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mr. David Varnau, C.P.O., L.P.O.
Title
President
Phone
(206) 328-4276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 0100000027 WA
Prosthetic/Orthotic Supplier 335E00000X PS00000026 WA Primary

Addresses

Primary practice location

411 12TH Ave
Seattle, WA 98122-5577

Mailing address

411 12TH Ave
Seattle, WA 98122-5577
Phone (206) 328-4276

Other identifiers 1

IdentifierTypeStateIssuer
9015561MedicaidWA

National Provider Directory

National Provider Directory

Locations

411 12th Ave
Seattle, WA 98122
Phone (206) 328-4276

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1932309747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225577",
            "telephone_number": "206-328-4276",
            "fax_number": "206-328-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225577",
            "telephone_number": "206-328-4276",
            "fax_number": "206-328-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PROSTHETICS ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "VARNAU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-328-4276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O., L.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "0100000027",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PS00000026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.