National Pedorthic Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NATIONAL PEDORTHIC SERVICES, INC.

Practice address

727 N New Ballas Rd
Creve Coeur, MO 63141-6715

Phone

(314) 983-9453

Fax

(314) 983-9457

NPI assigned

Aug 19, 2006

Organization subpart

Yes

Parent organization

NATIONAL PEDORTHIC SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Nicole S Janisse

Title

Operations Manager

Phone

(414) 438-1216

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

National Pedorthic Serv

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1215041884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-438-1216",
            "fax_number": "414-438-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-983-9453",
            "fax_number": "314-983-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PEDORTHIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL PEDORTHIC SERVICES, INC",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "JANISSE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "414-438-1216"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623894300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Whigger Mullins, R.N.
• Sean P Mulqueeny, OD
• Jada Rosemary Mutic, LPC
• Lilah Ann Myover, DPT
• Nadim Toufic Nasrallah, M.S., D.C
• National Vision Inc
• Kassidy Neeley, PLBA
• Zachary Nelson, PHARMD
• Nephrology and Hypertension Specialists, LLC
• New Ballas OB/GYN, Inc

• Prosthetic/Orthotic Supplier in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.