Active NPI
Horizon Orthotic & Prosthetic Experience Inc
- Prosthetic/Orthotic Supplier
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HORIZON ORTHOTIC & PROSTHETIC EXPERIENCE INC
- Practice address
- 11775 W 112TH St
Suite 101
Overland Park, KS 66210-2761 - Phone
- (913) 663-4673
- NPI assigned
- Jan 3, 2007
- 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
- Ms. Sharon R Ewan
- Title
- Director of Accounting & HR
- Phone
- (816) 287-8433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
11775 W 112TH St
Suite 101
Overland Park, KS 66210-2761
Mailing address
11775 W 112TH St
Suite 101
Overland Park, KS 66210-2761
Phone (913) 663-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930060047 | KS | DME Supplier - Orthotic Personnel | 3274737424 | Practice locations: Overland Park, KS |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Topeka, KS
- NPI 1447649074
3274737424
-
- Prosthetic/Orthotic Supplier
- Independence, MO
- NPI 1588896781
3274737424
-
- Prosthetic/Orthotic Supplier
- North Kansas City, MO
- NPI 1750705042
3274737424
-
- Prosthetic/Orthotic Supplier
- Columbia, MO
- NPI 1831864859
3274737424
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Horizon Orthotic & Prosthetic Exper | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Horizon Orthotic Prosthetic Experience Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- North Kansas City, MO
- NPI 1750705042
Locations
11775 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 663-4673
4900 S Arrowhead Dr
Ste A
Independence, MO 64055
Phone (816) 795-9600
2700 Clay Edwards Dr
Ste 355
North Kansas City, MO 64116
Phone (816) 268-4673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1194882357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11775 W 112TH ST",
"address_2": "SUITE 101",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102761",
"telephone_number": "913-663-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11775 W 112TH ST",
"address_2": "SUITE 101",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102761",
"telephone_number": "913-663-4673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON ORTHOTIC & PROSTHETIC EXPERIENCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "EWAN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING & HR",
"authorized_official_telephone_number": "816-287-8433",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.