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Medsource Orthotics & Prosthetics, Inc

Medsource Orthotics & Prosthetics, Inc is a healthcare organization registered as Prosthetic/Orthotic Supplier in Mesa, AZ, holding Type 2 (organization) NPI 1245724822 since 2018. The authorized official on file is David Charles, President.

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NPI 1245724822
Entity type Organization (Type 2)
Legal business name Medsource Orthotics & Prosthetics, Inc
Other name <Unavail>
Practice address 1450 S DOBSON RD STE B326, Mesa, AZ, 85202
Phone 6023953354
Fax 8888288290
Enumeration date 2018-06-18
Last updated in NPPES 2018-09-14

Authorized official

Name David Charles
Title President
Phone 8012555202

Taxonomy & classification

Taxonomy code Specialty Primary License State
335E00000X Prosthetic/Orthotic Supplier Primary 21067439 AZ
Copy-ready billing details
Provider: Medsource Orthotics & Prosthetics, Inc
NPI: 1245724822
Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier)
Address: 1450 S DOBSON RD STE B326, Mesa, AZ, 85202

Providers at this address

NPI Name Type Specialty Location
1134696180 Pongratz Orthotics & Prosthetics, Inc. Organization Durable Medical Equipment & Medical Supplies Mesa, AZ

Verify this record

Cross-check NPI 1245724822 against the authoritative CMS record: view Medsource Orthotics & Prosthetics, Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Medsource Orthotics & Prosthetics, Inc?
The NPI for Medsource Orthotics & Prosthetics, Inc is 1245724822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medsource Orthotics & Prosthetics, Inc?
NPPES lists David Charles (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-09-14.