Organization Active NPI

Turnbow Prosthetics LLC

  • Customized Equipment (DME)
  • Columbia City, IN
National Provider Identifier
1104121805
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
TURNBOW PROSTHETICS LLC
Practice address
561 W Connexion Way
Suite 2
Columbia City, IN 46725-1048
Phone
(260) 244-0099
Fax
(888) 270-6755
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mr. Kent Turnbow, CP
Title
Member
Phone
(260) 244-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

561 W Connexion Way
Suite 2
Columbia City, IN 46725-1048

Mailing address

561 W Connexion Way
Suite 2
Columbia City, IN 46725-1048
Phone (260) 244-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110418000379 IN DME Supplier - Prosthetic Personnel 2668656588 Practice locations: Columbia City, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Turnbow Prosthetics LLC561 W Connexion Way, Columbia City, IN 46725-1049(260) 244-0099 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Feb 18, 2011

National Provider Directory

National Provider Directory

Locations

561 W Connexion Way
Ste 6
Columbia City, IN 46725
Phone (260) 244-0099

561 W Connexion Way
Ste 2
Columbia City, IN 46725
Phone (260) 244-0099

561 W Connexion Way
Columbia City, IN 46725
Phone (260) 244-0099

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1104121805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W CONNEXION WAY",
            "address_2": "SUITE 2",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251048",
            "telephone_number": "260-244-0099",
            "fax_number": "888-270-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W CONNEXION WAY",
            "address_2": "SUITE 2",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251048",
            "telephone_number": "260-244-0099",
            "fax_number": "888-270-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNBOW PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "TURNBOW",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-244-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.