Provider Demographics
NPI:1598935702
Name:ADVANCED PROSTHETICS AND ORTHOTICS, INC
Entity Type:Organization
Organization Name:ADVANCED PROSTHETICS AND ORTHOTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TUNCAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GORGUN
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:702-256-5265
Mailing Address - Street 1:7455 W WASHINGTON AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-4337
Mailing Address - Country:US
Mailing Address - Phone:702-256-5265
Mailing Address - Fax:702-256-5205
Practice Address - Street 1:2281 POSTAL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-4774
Practice Address - Country:US
Practice Address - Phone:775-751-2030
Practice Address - Fax:775-751-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV090414564332B00000X, 332BC3200X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003302056Medicaid
NV003302056Medicaid