SAN JUAN PROSTHETICS AND ORTHOTICS, LLC
NPI 1104859248
Prosthetic/Orthotic Supplier in Durango, CO
NPI Status: Active since July 09, 2006
Contact Information
1 MERCADO ST
STE. 203
DURANGO, CO
ZIP 81301
Phone: (970) 259-9258
Fax: (970) 385-7262
- Organization
- Prosthetic/Orthotic Supplier
About SAN JUAN PROSTHETICS AND ORTHOTICS, LLC
This page provides the complete NPI Profile along with additional information for San Juan Prosthetics And Orthotics, Llc, a provider established in Durango, Colorado operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1104859248 assigned on July 2006. The practitioner's primary taxonomy code is 335E00000X with license number 1428 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as San Juan Prosthetics And Orthotics, Llc. The authorized official of this NPI record is Mr. Timothy John Obrien C.p.o. (President)
- NPI
- 1104859248
- Provider Legal Name
- PROSTHETIC DEVELOPMENT AND RESEARCH, INC.
- Other Organization Name
- SAN JUAN PROSTHETICS AND ORTHOTICS, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 MERCADO ST STE. 203 DURANGO, CO 81301
- Location Phone
- (970) 259-9258
- Location Fax
- (970) 385-7262
- Mailing Address
- 1 MERCADO ST STE. 203 DURANGO, CO 81301
- Mailing Phone
- (970) 259-9258
- Mailing Fax
- (970) 385-7262
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-09-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 1428
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08002149 | MEDICAID (05) | CO |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104859248, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DURANGO, CO 81301
DURANGO, CO 81301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104859248, enumerated as an "organization" on July 09, 2006.
The provider is located at 1 MERCADO ST STE. 203 DURANGO, CO 81301 and the phone number is (970) 259-9258.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
