Organization Active NPI

Amici's Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Fallston, MD
National Provider Identifier
1194805994
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
12203879 Issued in MD
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mr. Kenneth H Noll, CONPI 1891799870
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MK07AMOtherMDBCBS DME PROVIDER #
400890100MedicaidMD
F725OtherMDBLUECROSSBLUESHIELD

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.