Decker Integrated Orthotics and Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC

Practice address

8931 W 75TH St
Overland Park, KS 66204-2208

Phone

(913) 341-2661

Fax

(913) 273-1313

NPI assigned

Jul 6, 2007

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

DECKER INVESTMENTS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Loren J. Decker, CP

Title

Ceo

Phone

(913) 341-2661

Specialties & licenses 2

Addresses

Other names 1

• Decker Orthopedic, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1245438613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042208",
            "telephone_number": "913-341-2661",
            "fax_number": "913-273-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042208",
            "telephone_number": "913-341-2661",
            "fax_number": "913-273-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECKER INVESTMENTS, LLC",
        "enumeration_date": "2007-07-06",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-341-2661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decker Orthopedic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Prosthetic/Orthotic Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.