ADVANCED PROSTHETICS CENTER – NPI #1306120068
Prosthetic/Orthotic Supplier

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.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

ADVANCED PROSTHETICS CENTER is a DME Supplier practcing outside of the United States. NPPES has assigned the NPI number 1306120068 to ADVANCED PROSTHETICS CENTER on September 29, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED PROSTHETICS CENTER” is a dba name, the actual legal business name for this organization is MAGUIRE BOONSTRA INC. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 14 years ago on Mar 26, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED PROSTHETICS CENTER below.

NPI Profile for
MAGUIRE BOONSTRA INC

NPI Number
1306120068
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGUIRE BOONSTRA INC
Doing Business As (dba): ADVANCED PROSTHETICS CENTER
Primary location
5955 S. HWY 16
SUITE C
RAPID CITY, SD - SOUTH DAKOTA 57701
Phone: (605) 232-0066 Fax:
Mailing address
355 W ANCHOR DR
DAKOTA DUNES, SD 57049-5154
Phone: (605) 232-0066 Fax:
Organization Subpart
No
Authorized Official
JEFF BOONSTRA
PRESIDENT/PROSTHETIST
Phone: (605) 232-0066
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)		 SD

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.