Orthocare Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

26 Issued in OK

Legal business name

ORTHOCARE SERVICES LLC

Practice address

2305 S. I-35 Service Road
Moore, OK 73160-2775

Phone

(405) 703-1472

Fax

(405) 703-1653

NPI assigned

May 10, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Birks, CO L

Title

President

Phone

(405) 703-1472

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1255381471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S. I-35 SERVICE ROAD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602775",
            "telephone_number": "405-703-1472",
            "fax_number": "405-703-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S. I-35 SERVICE ROAD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602775",
            "telephone_number": "405-703-1472",
            "fax_number": "405-703-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BIRKS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-703-1472",
        "authorized_official_credential": "CO L"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200047670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Justin Hull Ory, PH.D.
• Osu Center for Health Sciences (Osu-Aj Norman Regional Moore)
• Kaylee Overand
• Nathan Lee Overton, LCSW

• Prosthetic/Orthotic Supplier in Moore, OK
• Providers in Moore, OK by specialty
• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.