NPIMap

Organization Active NPI

Lifestyles Orthotics and Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1184831315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFESTYLES ORTHOTICS AND PROSTHETICS
Practice address
6157 Center St
Omaha, NE 68106-2935
Phone
(402) 561-0922
Fax
(402) 561-0927
NPI assigned
May 17, 2007
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
Shirley Roof
Title
Adm Manager
Phone
(402) 393-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6157 Center St
Omaha, NE 68106-2935

Mailing address

6157 Center St
Omaha, NE 68106-2935
Phone (402) 561-0922

Other identifiers 1

IdentifierTypeStateIssuer
0906123MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Lifestyles Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6157 Center St
Omaha, NE 68106
Phone (402) 561-0922

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184831315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062935",
            "telephone_number": "402-561-0922",
            "fax_number": "402-561-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062935",
            "telephone_number": "402-561-0922",
            "fax_number": "402-561-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLES ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADM MANAGER",
        "authorized_official_telephone_number": "402-393-2354"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906123",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

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.