Active NPI
Amici's Orthotics & Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Fallston, MD
National Provider Identifier
1194805994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 12203879
- Legal business name
- AMICI'S ORTHOTICS & PROSTHETICS, INC
- Practice address
- 2135 Hampton CT
Fallston, MD 21047-2020 - Phone
- (410) 877-4160
- NPI assigned
- Oct 16, 2006
- Last updated
- Aug 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth H Noll, CO
- Title
- President
- Phone
- (410) 877-0642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 12203879 | MD | |
| Prosthetic/Orthotic Supplier | 335E00000X | 12203879 | MD | Primary |
Addresses
Primary practice location
2135 Hampton CT
Fallston, MD 21047-2020
Mailing address
2135 Hampton CT
Fallston, MD 21047-2020
Phone (410) 877-4160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MK07AM | Other | MD | BCBS DME PROVIDER # |
| 400890100 | Medicaid | MD | |
| F725 | Other | MD | BLUECROSSBLUESHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Fallston, MD
- NPI 1891799870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1194805994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 HAMPTON CT",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472020",
"telephone_number": "410-877-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 HAMPTON CT",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472020",
"telephone_number": "410-877-4160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMICI'S ORTHOTICS & PROSTHETICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "NOLL",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-877-0642",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MD",
"license": "12203879",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": "12203879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME PROVIDER #",
"identifier": "MK07AM",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400890100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "F725",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.