GALLUP ARTIFICIAL LIMB AND BRACE CO INC
NPI 1114002219
Prosthetist in Gallup, NM
NPI Status: Active since October 26, 2006
Contact Information
927 WEST AZTEC AVENUE
GALLUP, NM
ZIP 87301
Phone: (505) 722-5756
Fax: (505) 722-6726
- Organization
- Prosthetist
- Medicare Supplier
- Accepts Medicare Approved Payment
About GALLUP ARTIFICIAL LIMB AND BRACE CO INC
This page provides the complete NPI Profile along with additional information for Gallup Artificial Limb And Brace Co Inc, a provider established in Gallup, New Mexico operating as a Prosthetist. The healthcare provider is registered in the NPI registry with number 1114002219 assigned on October 2006. The practitioner's primary taxonomy code is 224P00000X with license number CP002174 (). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Gallup Artificial Limb And Brace Co Inc. The authorized official of this NPI record is Justin Marshall Abc Coa (President/owner)
- NPI
- 1114002219
- Provider Legal Name
- GALLUP LIMB AND BRACE CO INC
- Other Organization Name
- GALLUP ARTIFICIAL LIMB AND BRACE CO INC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 927 WEST AZTEC AVENUE GALLUP, NM 87301
- Location Phone
- (505) 722-5756
- Location Fax
- (505) 722-6726
- Mailing Address
- 927 WEST AZTEC AVENUE GALLUP, NM 87301
- Mailing Phone
- (505) 722-5756
- Mailing Fax
- (505) 722-6726
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 01-25-2024
- Code Navigator
Gallup Artificial Limb And Brace Co Inc is a medicare supplier with PTAN 20663375 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Traction Equipment or Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
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
Prosthetist
- Taxonomy Code
- 224P00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- CP002174
- Taxonomy Description
- A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 |
|---|---|---|---|
| T6269 | MEDICAID (05) | NM | |
| 307852 | MEDICAID (05) | AZ |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20663375
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
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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 1114002219, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).
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 41 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114002219, enumerated as an "organization" on October 26, 2006.
The provider is located at 927 WEST AZTEC AVENUE GALLUP, NM 87301 and the phone number is (505) 722-5756.
Prosthetist with taxonomy code 224P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
