Organization Active NPI

Horizon Orthotic & Prosthetic Experience Inc

  • Prosthetic/Orthotic Supplier
  • Overland Park, KS
National Provider Identifier
1194882357
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Jul 29, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930060047 KS DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic 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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Horizon Orthotic & Prosthetic Exper11775 W 112TH St, Overland Park, KS 66210-2756(913) 663-4673 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 assignmentParticipating since Apr 17, 2007

National Provider Directory

National Provider Directory
Tax ID family
Horizon Orthotic Prosthetic Experience Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.