NPIMap

Organization Active NPI

Lifestyles Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Lincoln, NE
National Provider Identifier
1184831349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LIFESTYLES ORTHOTICS AND PROSTHETICS
Practice address
6940 Van Dorn St Ste 101
Lincoln, NE 68506-2858
Phone
(402) 483-5955
Fax
(402) 483-7396
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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6940 Van Dorn St Ste 101
Lincoln, NE 68506-2858

Mailing address

6751 N 72ND St Ste 201
Omaha, NE 68122-1746
Phone (402) 572-2233

Other identifiers 1

IdentifierTypeStateIssuer
0541458MedicaidIA

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

6940 Van Dorn St
Ste 101
Lincoln, NE 68506
Phone (402) 483-5955

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": "1184831349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2233",
            "fax_number": "402-572-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-5955",
            "fax_number": "402-483-7396"
        }
    ],
    "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541458",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, 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.