Individual provider Active NPI

Andrew Dennis Betlach, CPO

  • Orthotist
  • Saint Paul, MN
National Provider Identifier
1235086992
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
1153 Issued in MN
Practice address
280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420
Phone
(651) 291-9000
Fax
(651) 291-8894
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 1153 MN
Orthotist 222Z00000X 1153 MN Primary

Addresses

Primary practice location

280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420

Mailing address

280 Smith Ave N Ste 101
Saint Paul, MN 55102-2420
Phone (651) 291-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1153MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Orthotics and Prosthetics Inc Orthotist PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1235086992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022420",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022420",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETLACH",
        "first_name": "ANDREW",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MN",
            "license": "1153",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MN",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.