Munger Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO01700 Issued in DE

Legal business name

MUNGER PROSTHETICS AND ORTHOTICS, INC.

Practice address

3455 Rewak Dr Ste 101
Fairbanks, AK 99709-5024

Phone

(907) 743-9991

Fax

(907) 743-9992

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Trevor D MungerNPI 1962761973

Title

President/Owner

Phone

(907) 743-9991

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Trevor Dale Munger, CPO

  • Orthotist
  • Wasilla, AK
  • NPI 1962761973
  NPD (past) Authorized official

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1942551429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 LAKE OTIS PKWY STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071778",
            "telephone_number": "907-743-9991",
            "fax_number": "907-743-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REWAK DR STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095024",
            "telephone_number": "907-743-9991",
            "fax_number": "907-743-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNGER PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MUNGER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "907-743-9991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO01700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moveit Physical Therapy, LLC
• Madyson Moyle
• Michael Muirhead
• Minda Kay Mull, CDCI
• Anita Mullins
• Mandy Jean Munhollland
• Byron A Munoz
• Roderick Edward Munson
• Ty Munson
• Alice Ann Mural, ANP

• Prosthetic/Orthotic Supplier in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Prosthetic/Orthotic Supplier in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.