Organization Active NPI

University Pedorthics

  • Customized Equipment (DME)
  • Muncie, IN
National Provider Identifier
1104830462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
UNIVERSITY PEDORTHICS
Practice address
413 S Tillotson Ave Ste 4
Muncie, IN 47304-4368
Phone
(765) 281-8900
Fax
(765) 281-8999
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jami Heath, C-PED
Title
Vice President
Phone
(765) 281-8900

Specialties & licenses 1

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

Addresses

Primary practice location

413 S Tillotson Ave Ste 4
Muncie, IN 47304-4368

Mailing address

413 S Tillotson Ave Ste 4
Muncie, IN 47304-4368
Phone (765) 281-8900

National Provider Directory

National Provider Directory

Locations

413 S Tillotson Ave
Ste 4
Muncie, IN 47304
Phone (765) 281-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104830462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S TILLOTSON AVE STE 4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044368",
            "telephone_number": "765-281-8900",
            "fax_number": "765-281-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S TILLOTSON AVE STE 4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044368",
            "telephone_number": "765-281-8900",
            "fax_number": "765-281-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDORTHICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "765-281-8900",
        "authorized_official_credential": "C-PED"
    },
    "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 Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.