MEDICARE: ORTHODYNAMICS COMPANY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory
2	335E00000X	Prosthetic/Orthotic Supplier		IN
3	332900000X	Non-Pharmacy Dispensing Site
4	332BC3200X	Customized Equipment (DME)	0007066856	IN
5	332B00000X	Durable Medical Equipment & Medical Supplies	0007066856	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1023695	OTHER	IN	ACM PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	C34913	OTHER	IN	HUMANA PROVIDER NUMBER
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	0005562645	OTHER	IN	AETNA PROVIDER NUMBER
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	ACS129561000	OTHER	IN	US DOL PROVIDER NUMBER
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	000000097460	OTHER	IN	ANTHEM PROVIDER NUMBER
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	80713	OTHER	IN	NPN PROVIDER NUMBER
20	IN1859	OTHER	IN	HEALTHNET PROVIDER NUMBER
21	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27	IN4658	OTHER		IDTF PTAN
28	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
36	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
39	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
42	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457310492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHODYNAMICS COMPANY, INC.

Provider Business Mailing Address
First Line	:	155 CAREY DR
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1302
Country	:	US
Telephone Number	:	800-497-9107
Fax Number	:	317-774-0146

Provider Business Practice Location Address
First Line	:	155 CAREY DR
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1302
Country	:	US
Telephone Number	:	800-497-9107
Fax Number	:	317-774-0146

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ANDREW L GIGANTE
Credential	:
Telephone Number	:	800-497-9107

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	12/16/2025

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