Active NPI
Ampro Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
National Provider Identifier
1942279724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- AMPRO ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 6877 S Eastern Ave
Las Vegas, NV 89119-0008 - Phone
- (702) 457-3200
- Fax
- (702) 457-0908
- NPI assigned
- Mar 15, 2006
- Last updated
- Oct 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Petra Thiessen
- Title
- Operations Manager
- Phone
- (702) 457-3200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
6877 S Eastern Ave
Las Vegas, NV 89119-0008
Mailing address
6877 S Eastern Ave
Las Vegas, NV 89119-0008
Phone (702) 457-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003302047 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
6877 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 457-3200
7200 Cathedral Rock Dr
Ste 200
Las Vegas, NV 89128
Phone (702) 723-4124
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Pahrump, NV
- NPI 1205026960
-
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
- NPI 1326277666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1942279724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6877 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190008",
"telephone_number": "702-457-3200",
"fax_number": "702-457-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6877 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190008",
"telephone_number": "702-457-3200",
"fax_number": "702-457-0908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMPRO ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "THIESSEN",
"authorized_official_first_name": "PETRA",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "702-457-3200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003302047",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.