Action Brace & Prosthetic, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ACTION BRACE & PROSTHETIC, INC

Practice address

8936 Southpointe Dr Ste B1
Indianapolis, IN 46227-7506

Phone

(317) 534-2852

Fax

(317) 885-8199

NPI assigned

Apr 24, 2007

Last updated

May 27, 2008By 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

Mrs. Denise Annette Shores-Deal

Title

Operations Manager

Phone

(317) 347-4222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1093934648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781728",
            "telephone_number": "317-347-4222",
            "fax_number": "317-347-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DR STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277506",
            "telephone_number": "317-534-2852",
            "fax_number": "317-885-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BRACE & PROSTHETIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SHORES-DEAL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-347-4222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204200C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vianey Acosta
• Michael Anthony Acquaviva, MD
• Olukemi Linda Acquaye
• Action 2 Succeed, LLC Dba Eye Care 4 U
• Action Ambulance (Integrated Transportation Solutions, LLC)
• Action Brace & Prosthetic, Inc.
• Activate Healthcare PC
• Active Care Home Services Inc
• Active Chiropractic Clinic Inc
• Active Day in, Inc. (Active Day of Indianapolis North)

• Prosthetic/Orthotic Supplier in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.