Active NPI
Ortheco LLC
- Prosthetic/Orthotic Supplier
- Springfield, IL
National Provider Identifier
1245865245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHECO LLC
- Practice address
- 3050 Montvale Dr Ste E
Springfield, IL 62704-4290 - Phone
- (314) 492-0080
- NPI assigned
- Mar 10, 2020
- Organization subpart
- Yes
- Parent organization
- ORTHECO LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Dopplick
- Title
- Amputee Success Manager
- Phone
- (314) 492-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3050 Montvale Dr Ste E
Springfield, IL 62704-4290
Mailing address
4105 Union Rd
Saint Louis, MO 63129-1064
Phone (314) 492-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200423001821 | IL | DME Supplier - Prosthetic Personnel | 8820329790 | Practice locations: Springfield, IL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Ortheco LLC
- Part of
- Ortheco LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Saint Louis, MO
- NPI 1386297679
Locations
3050 Montvale Dr
Ste E
Springfield, IL 62704
Phone (314) 492-0080
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Glendale Heights, IL
- NPI 1841007101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1245865245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 UNION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291064",
"telephone_number": "314-492-0080",
"fax_number": "314-461-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MONTVALE DR STE E",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044290",
"telephone_number": "314-492-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHECO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHECO LLC",
"enumeration_date": "2020-03-10",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "DOPPLICK",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "AMPUTEE SUCCESS MANAGER",
"authorized_official_telephone_number": "314-492-0080"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.