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DAVIDSON PROSTHETICS LLC
NPI 1033360409
Prosthetic/Orthotic Supplier in Puyallup, WA

Active since October 03, 2008
11919 CANYON RD E, PUYALLUP, WA 98373(253) 770-6578(253) 881-1397 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Davidson Prosthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIDSON PROSTHETICS LLC (NPI 1033360409) is a healthcare organization registered as a prosthetic/orthotic supplier in Puyallup, Washington and active in the NPI registry since October 2008. The organization lists Greg E Davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033360409
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameDAVIDSON PROSTHETICS LLC
Location Address11919 CANYON RD EPuyallup, WA 98373-4456
Mailing Address11919 Canyon Rd EPuyallup, WA 98373-4456 · (253) 770-6578 · Fax (253) 881-1397
Phone(253) 770-6578
Fax(253) 881-1397
Organization SubpartNo
Authorized OfficialGreg E DavidsonOwner · (253) 651-8250
Enumeration DateOctober 3, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1033360409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in WA · CPO01874
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
11919 CANYON RD E, Puyallup, WA 98373
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Other Identifiers 1

Medicaid9062993WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Davidson Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Davidson Prosthetics LLC

DMEPOS supplier · Puyallup, WA
⋮

Does not accept Medicare assignment

Davidson Prosthetics LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20554997
Medicare Participant SinceOctober 20, 2008
Supplier Location11919 Canyon Rd EPuyallup, WA 98373
Phone(253) 770-6578
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davidson Prosthetics LLC's NPI number?

The NPI number for Davidson Prosthetics LLC is 1033360409. It was assigned to this organization in the NPPES registry on October 3, 2008.

Where is Davidson Prosthetics LLC located?

Davidson Prosthetics LLC is located at 11919 Canyon Rd E, Puyallup, WA 98373. The listed phone number is (253) 770-6578.

What is Davidson Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Davidson Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Davidson Prosthetics LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Davidson Prosthetics LLC accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Davidson Prosthetics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davidson Prosthetics LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.