PARK MASTECTOMY SUPPLY
NPI 1821381328
Prosthetic/Orthotic Supplier in Henderson, NV

Q: What is Park Medical Wear, Inc.'s NPI number?

The NPI number for Park Medical Wear, Inc. is 1821381328. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Park Mastectomy Supply.

Q: What is Park Medical Wear, Inc.'s specialty?

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

Active since May 17, 2011

1697 FREEDOM CT, HENDERSON, NV 89014(866) 699-9612(702) 405-7147 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Park Mastectomy Supply NPPES

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

PARK MASTECTOMY SUPPLY (NPI 1821381328) is a healthcare organization registered as a prosthetic/orthotic supplier in Henderson, Nevada and active in the NPI registry since May 2011. The organization lists Michael David Park, President, as its authorized official.

NPPES Registry Identity

NPI1821381328

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePARK MEDICAL WEAR, INC.

Location Address1697 FREEDOM CTHenderson, NV 89014-7526

Mailing Address1697 Freedom CtHenderson, NV 89014-7526 · (866) 699-9612 · Fax (702) 405-7147

Phone(866) 699-9612

Fax(702) 405-7147

Organization SubpartNo

Authorized OfficialMichael David ParkPresident · (866) 699-9612

Enumeration DateMay 17, 2011

Last NPPES UpdateAugust 28, 2013

✔ NPI 1821381328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

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.

1697 FREEDOM CT, Henderson, NV 89014

Open in Google Maps ↗

Other Names 1

Doing Business AsPark Mastectomy Supply

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 Park Medical Wear, Inc.'s NPI number?

The NPI number for Park Medical Wear, Inc. is 1821381328. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Park Mastectomy Supply.

Where is Park Medical Wear, Inc. located?

Park Medical Wear, Inc. is located at 1697 Freedom Ct, Henderson, NV 89014. The listed phone number is (866) 699-9612.

What is Park Medical Wear, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Park Medical Wear, Inc. was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.