Provider Demographics
NPI:1730159245
Name:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Entity type:Organization
Organization Name:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:515-224-0537
Mailing Address - Street 1:1250 NW 142ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8346
Mailing Address - Country:US
Mailing Address - Phone:515-224-0537
Mailing Address - Fax:515-224-0491
Practice Address - Street 1:1414 NEBRASKA ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51105-1237
Practice Address - Country:US
Practice Address - Phone:712-255-8913
Practice Address - Fax:712-255-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9150540Medicaid
IA0093963Medicaid
SD9150540Medicaid
IA0093963Medicaid