Advanced Custom Orthotics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ADVANCED CUSTOM ORTHOTICS, INC.

Practice address

17600 Chesterfield Airport Rd
Ste B5
Chesterfield, MO 63005-1246

Phone

(636) 536-2514

NPI assigned

Apr 28, 2009

Last updated

Nov 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald B HaveyNPI 1477746725

Title

President

Phone

(636) 536-2514

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Brian Havey, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1477746725
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1053555417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 CHESTERFIELD AIRPORT RD",
            "address_2": "STE B5",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051246",
            "telephone_number": "636-536-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 CHESTERFIELD AIRPORT RD",
            "address_2": "STE B5",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051246",
            "telephone_number": "636-536-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CUSTOM ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "HAVEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-536-2514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.