Organization Active NPI

Donn & Doff Inc

Doing business as Ray Tegerstrand's Orthopedic Appliance

  • Prosthetic/Orthotic Supplier
  • Mount Shasta, CA
National Provider Identifier
1144317306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DONN & DOFF INC
Doing business as
Ray Tegerstrand's Orthopedic Appliance
Tegerstrand Orthotics & Prosthetics
Practice address
206A Roelofs CT
Mount Shasta, CA 96067-2761
Phone
(530) 926-0560
Fax
(530) 926-0560
NPI assigned
Oct 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dona TegerstrandNPI 1144711045
Title
Corporation Secretary
Phone
(530) 241-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

206A Roelofs CT
Mount Shasta, CA 96067-2761

Mailing address

2102 Civic Center Dr
Redding, CA 96001-2704
Phone (530) 241-4040

Other identifiers 3

IdentifierTypeStateIssuer
XC0010961MedicaidCA
AAA28189AOtherCABLUE SHIELD
ZZZ28189ZOtherCABLUE CROSS

Other names 2

  • Ray Tegerstrand's Orthopedic Appliance Doing business as
  • Tegerstrand Orthotics & Prosthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088471 CA DME Supplier - Certified Orth/Pros/Pedorthist 7214054592 Practice locations: Mount Shasta, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Donn Doff Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

206 Roelofs Ct
Ste A
Mount Shasta, CA 96067
Phone (530) 926-0560

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144317306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CIVIC CENTER DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012704",
            "telephone_number": "530-241-4040",
            "fax_number": "530-241-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A ROELOFS CT",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672761",
            "telephone_number": "530-926-0560",
            "fax_number": "530-926-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONN & DOFF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEGERSTRAND",
        "authorized_official_first_name": "DONA",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "530-241-4040",
        "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": "XC0010961",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AAA28189A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ28189Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray Tegerstrand's Orthopedic Appliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tegerstrand Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.