Organization Active NPI

Kessler-Heasley Artificial Limb Co.

  • Prosthetic/Orthotic Supplier
  • Joplin, MO
National Provider Identifier
1154734317
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KESSLER-HEASLEY ARTIFICIAL LIMB CO.
Practice address
2312 Connectcut
Joplin, MO 64804-3039
Phone
(417) 659-8488
Fax
(417) 659-8486
NPI assigned
Jun 5, 2014
Organization subpart
Yes
Parent organization
KESSLER-HEASLEY ARTIFICIAL LIMB CO.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Angie Jon Muggenburg
Title
Office Manager
Phone
(417) 889-3222

Specialties & licenses 1

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

Addresses

Primary practice location

2312 Connectcut
Joplin, MO 64804-3039

Mailing address

3250 S Delaware Ave
Springfield, MO 65804-6486
Phone (417) 889-3222

Other names 1

  • Joplin Prosthetics and Orthotics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150321000199 MO DME Supplier - Medical Supply Company 3779601174 Practice locations: Joplin, MO

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Ozark Prosthetics2 organizations share this tax ID, including this one
Part of
Ozark Prosthetics

Other organizations with this tax ID 1

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

Locations

811 Dairy St
Monett, MO 65708
Phone (417) 235-2253

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1154734317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 S DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046486",
            "telephone_number": "417-889-3222",
            "fax_number": "417-889-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 CONNECTCUT",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043039",
            "telephone_number": "417-659-8488",
            "fax_number": "417-659-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESSLER-HEASLEY ARTIFICIAL LIMB CO.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KESSLER-HEASLEY ARTIFICIAL LIMB CO.",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MUGGENBURG",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-889-3222"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joplin Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.