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DENHAM ORTHOTICS AND FITNESS NPI 1891751723


NPI Information

NPI: 1891751723
Provider Name: DENHAM ORTHOTICS AND FITNESS

Doing Business As: EVOLVE PROSTHETICS AND ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
601 WHITNEY RANCH DR
#C-17
HENDERSON, NV
ZIP 89014
Phone: (702) 898-6000
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DENHAM ORTHOTICS AND FITNESS is a prosthetic orthotic supplier in Henderson, NV. The provider is 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. DENHAM ORTHOTICS AND FITNESS NPI is 1891751723. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evolve Prosthetics And Orthotics.

The provider's business location address is:

601 WHITNEY RANCH DR
#C-17
HENDERSON, NV
ZIP 89014-642
Phone: (702) 898-6000
Fax: (702) 898-6080

The provider's authorized official is David Kovach .
The authorized official title is President and has the following contact phone number (702) 898-6000.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 1/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistCO003963DELAWARENo
2224P00000XProsthetistCP003298DELAWARENo
3335E00000XProsthetic/Orthotic SupplierC15202NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14385780001OTHERNEVADAPTAN
2003302256MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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