PROSTHETIC CARE CLINIC LLC
NPI 1245838523
Durable Medical Equipment & Medical Supplies in Fort Morgan, CO

NPI Status: Active since October 09, 2020

Contact Information

812 MAIN ST
FORT MORGAN, CO
ZIP 80701
Phone: (970) 743-3118
Fax: (707) 433-1219

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About PROSTHETIC CARE CLINIC LLC

This page provides the complete NPI Profile along with additional information for Prosthetic Care Clinic Llc, a provider established in Fort Morgan, Colorado operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1245838523 assigned on October 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 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 authorized official of this NPI record is Johan Smith (Certified Orthotist Prosthetist)

NPI
1245838523
Provider Name
PROSTHETIC CARE CLINIC LLC
Entity Type
Organization
Location Address
812 MAIN ST FORT MORGAN, CO 80701
Location Phone
(970) 743-3118
Location Fax
(707) 433-1219
Mailing Address
812 MAIN ST FORT MORGAN, CO 80701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2020
Last Update Date
03-16-2023
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Prosthetic Care Clinic Llc is a medicare supplier with PTAN 20402213 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Limb Prostheses.

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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Orthotist

 
2224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Prosthetist

 
3335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Group Taxonomy 193400000X MULTIPLE 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHAN SMITH

Authorized Official Title
CERTIFIED ORTHOTIST PROSTHETIST
Authorized Official Phone
(720) 795-6438

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20402213
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

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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 1245838523, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 8 → 16 → 7 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 6 + 3 + 1 + 6 + 5 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1245838523.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245838523, enumerated as an "organization" on October 09, 2020.

The provider is located at 812 MAIN ST FORT MORGAN, CO 80701 and the phone number is (970) 743-3118.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.