OrganizationActive
Custom Prosthetic & Orthotic
NPI 1710147301 · Prosthetic/Orthotic Supplier · Clinton, MS
Custom Prosthetic & Orthotic is a Prosthetic/Orthotic Supplier organization in Clinton, MS (NPI 1710147301).
Provider details
- NPI number
- 1710147301
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Johnnie Owens, Owner President(601) 906-1024
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 E Northside Dr
Suite - D
Clinton, MS 39056-3663
Phone: (601) 906-1024
Street-level locationGet directions
Mailing address
801 E Northside Dr
Clinton, MS 39056-3663
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2012-03-15
Frequently asked questions
- What is Custom Prosthetic & Orthotic's NPI number?
- Custom Prosthetic & Orthotic's National Provider Identifier (NPI) is 1710147301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Prosthetic & Orthotic?
- Custom Prosthetic & Orthotic is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Custom Prosthetic & Orthotic located?
- Custom Prosthetic & Orthotic's practice location on file with NPPES is 801 E Northside Dr, Clinton, MS 39056-3663.
- What is Custom Prosthetic & Orthotic's phone number?
- The practice phone number listed in the NPPES registry for Custom Prosthetic & Orthotic is (601) 906-1024.
- Who is the authorized official for Custom Prosthetic & Orthotic?
- The authorized official listed on Custom Prosthetic & Orthotic's NPPES record is Johnnie Owens, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Prosthetic & Orthotic's NPI active?
- Yes — Custom Prosthetic & Orthotic's NPI (1710147301) is active in the NPPES registry as of the last update on 2012-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.