JACK BOODEN JR. C.P.O.
NPI 1841319415
Prosthetist in Norfolk, VA

Q: What is Jack Booden's NPI number?

The NPI number for Jack Booden is 1841319415. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Jack Booden's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Booden was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since March 28, 2007

2418 GRANBY ST, NORFOLK, VA 23517(757) 627-4191(757) 627-8709 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Jack Booden Jr. C.p.o. NPPES

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

JACK BOODEN JR. C.P.O. (NPI 1841319415) is an individual prosthetist provider in Norfolk, Virginia, licensed in (CPO 00503) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1841319415

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameJACK BOODEN JR.Credential: C.P.O.

Location Address2418 GRANBY STNorfolk, VA 23517-1422

Mailing Address2418 Granby StNorfolk, VA 23517-1422 · (757) 627-4191 · Fax (757) 627-8709

Phone(757) 627-4191

Fax(757) 627-8709

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1841319415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed · CPO 00503

Definition

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.

Also ListedOrthotistTaxonomy 222Z00000X · License CPO 00503

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 Jack Booden's NPI number?

The NPI number for Jack Booden is 1841319415. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jack Booden located?

Jack Booden practices at 2418 Granby St, Norfolk, VA 23517. The listed phone number is (757) 627-4191.

What is Jack Booden's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Jack Booden was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.