Active NPI
Michael W. Rasch, C.P.O.
- Orthotic Fitter
- Santa Fe, NM
National Provider Identifier
1164518114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CPO 1456
- Practice address
- 1691 Galisteo St
Suite B
Santa Fe, NM 87505-4780 - Phone
- (505) 820-2390
- Fax
- (505) 820-2392
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CPO 1456 | DE | Primary |
Addresses
Primary practice location
1691 Galisteo St
Suite B
Santa Fe, NM 87505-4780
Mailing address
1691 Galisteo Street
Suite B
Santa, FE 87505
UM
Phone (505) 820-2390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84927054 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO 1456 | DE | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1164518114",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1691 GALISTEO STREET",
"address_2": "SUITE B",
"city": "SANTA",
"state": "FE",
"postal_code": "87505",
"telephone_number": "505-820-2390",
"fax_number": "505-820-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 GALISTEO ST",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054780",
"telephone_number": "505-820-2390",
"fax_number": "505-820-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCH",
"first_name": "MICHAEL",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "DE",
"license": "CPO 1456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84927054",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.