Organization Active NPI

Cotton Orthotic and Prosthetic Associates, LLC

  • Prosthetic/Orthotic Supplier
  • Overland Park, KS
National Provider Identifier
1205195518
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
COTTON ORTHOTIC AND PROSTHETIC ASSOCIATES, LLC
Practice address
6311 W 110TH St
Overland Park, KS 66211-1509
Phone
(913) 338-2672
Fax
(913) 338-1776
NPI assigned
May 7, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mr. Daniel T Cotton, CPONPI 1932474749
Title
Owner/President/Cpo
Phone
(913) 338-2672

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

6311 W 110TH St
Overland Park, KS 66211-1509

Mailing address

6311 W 110TH St
Overland Park, KS 66211-1509
Phone (913) 338-2672

Other identifiers 1

IdentifierTypeStateIssuer
6684110001OtherKSMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000458 KS DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 8628231461 Practice locations: Overland Park, KS

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
Cotton Orthotic and Prosthetic Asso6311 W 110TH St, Overland Park, KS 66211-1509(913) 338-2672 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 Jun 1, 2012

National Provider Directory

National Provider Directory

Locations

6311 W 110th St
Overland Park, KS 66211
Phone (913) 338-2672

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": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1205195518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111509",
            "telephone_number": "913-338-2672",
            "fax_number": "913-338-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111509",
            "telephone_number": "913-338-2672",
            "fax_number": "913-338-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON ORTHOTIC AND PROSTHETIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CPO",
        "authorized_official_telephone_number": "913-338-2672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6684110001",
            "state": "KS"
        }
    ],
    "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 Jun 12, 2012; 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.