Organization Active NPI

Becker Orthopedic Appliance Company

  • Prosthetic/Orthotic Supplier
  • Grosse Pointe Woods, MI
National Provider Identifier
1093765737
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BECKER ORTHOPEDIC APPLIANCE COMPANY
Practice address
19251 Mack Ave
Suite 180
Grosse Pointe Woods, MI 48236-2893
Phone
(313) 640-7750
Fax
(313) 640-7721
NPI assigned
May 11, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. William J Touscany
Title
Business Manager
Phone
(248) 588-7480

Specialties & licenses 1

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

Addresses

Primary practice location

19251 Mack Ave
Suite 180
Grosse Pointe Woods, MI 48236-2893

Mailing address

PO Box 4840
Troy, MI 48099-4840
Phone (248) 588-7480

Other identifiers 3

IdentifierTypeStateIssuer
4370206MedicaidMI
100106OtherMICARE CHOICES PROVIDER #
58003OtherMINPN PROVIDER NUMBER

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

19251 Mack Ave
Ste 180
Grosse Pointe Woods, MI 48236
Phone (313) 640-7750

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1093765737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4840",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994840",
            "telephone_number": "248-588-7480",
            "fax_number": "248-588-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 MACK AVE",
            "address_2": "SUITE 180",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362893",
            "telephone_number": "313-640-7750",
            "fax_number": "313-640-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER ORTHOPEDIC APPLIANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "TOUSCANY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "248-588-7480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4370206",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES PROVIDER #",
            "identifier": "100106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN PROVIDER NUMBER",
            "identifier": "58003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.