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1811198179 NPI number — ORTHOPAEDIC SPECIALTIES, INC.

NPI Number: 1811198179
Health Care Provider/Practitioner: ORTHOPAEDIC SPECIALTIES, INC.

Information about “1811198179” NPI (ORTHOPAEDIC SPECIALTIES, INC.) exists in 1811198179 in HTML format HTML  |  1811198179 in plain Text format TXT  |  1811198179 in PDF (Portable Document Format) PDF  |  1811198179 in an XML format XML  formats.

NPI Number : 1811198179 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811198179",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ORTHOPAEDIC SPECIALTIES, 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": "812 RED LEAF CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40509-1759",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-268-2525",
    "MailingAddressFaxNumber": "859-268-2255",
    "FirstLinePracticeLocationAddress": "2216 YOUNG DR",
    "SecondLinePracticeLocationAddress": "SUITE 4",
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40505-4220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-268-2525",
    "PracticeLocationAddressFaxNumber": "859-268-2255",
    "EnumerationDate": "05/31/2007",
    "LastUpdateDate": "09/11/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NOLAND",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "859-268-2525",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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