Columbia Basin Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC.

Practice address

2624 W Deschutes Ave
Suite a
Kennewick, WA 99336-3003

Phone

(509) 737-8322

Fax

(509) 737-1290

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Allen Johnson

Title

Co Owner / Vice President

Phone

(509) 737-8322

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Columbia Basin Prosthetics & Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Walla Walla, WA
  • NPI 1629301619
  NPPES parent name

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1992763718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 W DESCHUTES AVE",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363003",
            "telephone_number": "509-737-8322",
            "fax_number": "509-737-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 W DESCHUTES AVE",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363003",
            "telephone_number": "509-737-8322",
            "fax_number": "509-737-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CO OWNER / VICE PRESIDENT",
        "authorized_official_telephone_number": "509-737-8322"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9051418",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "182856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar William-Dean Collins
• Columbia Basin Companion Care, LLC
• Columbia Basin Hearing Center LLC
• Columbia Basin Hematology & Oncology PLLC
• Columbia Basin Pedicatric Dentistry
• Columbia Basin Psychiatric Solutions PLLC
• Columbia Birth Center
• Columbia Chiropractic LLC
• Columbia Crest Eye Care
• Columbia Crest Eye Care Inc PS

• Prosthetic/Orthotic Supplier in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.