Organization Active NPI

Akbk

  • Prosthetic/Orthotic Supplier
  • Knoxville, TN
National Provider Identifier
1083727358
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AKBK
Practice address
4503 Walker Blvd
Knoxville, TN 37917-1526
Phone
(865) 688-2626
Fax
(865) 688-3647
NPI assigned
Aug 17, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mr. Peter Paul Kosloski, CPO, FAAOP
Title
Owner/President
Phone
(865) 688-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

4503 Walker Blvd
Knoxville, TN 37917-1526

Mailing address

4503 Walker Blvd
Knoxville, TN 37917-1526
Phone (865) 688-2626

Other identifiers 2

IdentifierTypeStateIssuer
0086519OtherTNBLUE CROOS BLUE SHEILD
3555750MedicaidTN

Other names 1

  • Crockett Prosthetics & Orthotics Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1083727358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 WALKER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171526",
            "telephone_number": "865-688-2626",
            "fax_number": "865-688-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 WALKER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171526",
            "telephone_number": "865-688-2626",
            "fax_number": "865-688-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKBK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "KOSLOSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-688-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROOS BLUE SHEILD",
            "identifier": "0086519",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3555750",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crockett Prosthetics & Orthotics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.