Smuthers Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SMUTHERS PROSTHETICS & ORTHOTICS

Practice address

114 Bridgeton PLZ
Byram, MS 39272-8710

Phone

(769) 251-0555

Fax

(769) 251-0366

NPI assigned

Jan 31, 2006

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Calvin M Berry Sr., BOCPO CP LPO

Title

President Ceo

Phone

(769) 251-0555

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1942271549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROOKWOOD ESTATES DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392725661",
            "telephone_number": "769-251-0555",
            "fax_number": "769-251-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BRIDGETON PLZ",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728710",
            "telephone_number": "769-251-0555",
            "fax_number": "769-251-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMUTHERS PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "769-251-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BOCPO  CP  LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940224",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158078716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03173827",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612553",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.