Ark Valley Orthotics And Prosthetics, Llc
Prosthetic/orthotic Supplier
12911 E 21st St N, Wichita
Kansas, 67230-7408
316-630-8420 316-630-0410
Ark Valley Orthotics And Prosthetics, Llc is a Prosthetic/orthotic Supplier in Wichita, Kansas. It is located at 12911 E 21st St N, Wichita and it's customer support contact number is 316-630-8420. The authorized person of Ark Valley Orthotics And Prosthetics, Llc is Mr. Jason Tanner, CPO who is Owner of this DME and his contact number is 316-630-8420. Ark Valley Orthotics And Prosthetics, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ark Valley Orthotics And Prosthetics, Llc 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.
DME Supplier Details:
Ark Valley Orthotics And Prosthetics, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ark Valley Orthotics And Prosthetics, Llc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 12911 E 21st St N, Wichita,
Kansas, 67230-7408 |
| Phone: | 316-630-8420 |
| Fax: | 316-630-0410 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jason Tanner |
| Credentials: | CPO |
| Position: | Owner |
| Contact Number: | 316-630-8420 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1053551432 |
| NPI Enumeration Date: | 25 Feb, 2009 |
| NPI Last Update On: | 14 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ark Valley Orthotics And Prosthetics, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Ark Valley Orthotics And Prosthetics, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547468621 | O20100930060103 | Ark Valley Orthotics And Prosthetics, Llc | DME SUPPLIER - ORTHOTIC PERSONNEL |
Products Available:
Ark Valley Orthotics And Prosthetics, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Limb Prostheses | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12911 E 21st St N,
Wichita, Kansas |
| Zip: | 67230-7408 |
| Phone Number: | 316-630-8420 |
| Fax Number: | 316-630-0410 |
Patients can reach Ark Valley Orthotics And Prosthetics, Llc at
12911 E 21st St N, Wichita, Kansas or can
call on customer care at 316-630-8420.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.