NPI Code Detail JSON Logo

1396819280 NPI number — BRACE SHOP & PROSTHETIC SERVICES INC

NPI Number: 1396819280
Health Care Provider/Practitioner: BRACE SHOP & PROSTHETIC SERVICES INC

Information about “1396819280” NPI (BRACE SHOP & PROSTHETIC SERVICES INC) exists in 1396819280 in HTML format HTML  |  1396819280 in plain Text format TXT  |  1396819280 in PDF (Portable Document Format) PDF  |  1396819280 in an XML format XML  formats.

NPI Number : 1396819280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396819280",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HANGER ORTHOPEDIC GROUP",
    "ParentOrgTIN": null,
    "OrgName": "BRACE SHOP & PROSTHETIC SERVICES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "111 WELLINGTON PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45219-1758",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-421-5653",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "62 DOUGHTY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWRENCEBURG",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47025-2950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-421-5653",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/20/2006",
    "LastUpdateDate": "03/18/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRICE",
    "AuthorizedOfficialFirstName": "SHERYL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIR OF REIMBURSEMENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "503-493-8288",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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