Organization Active NPI

Heartland O&P Inc.

  • Customized Equipment (DME)
  • Winfield, KS
National Provider Identifier
1255776415
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
C.P.O. 2980 Issued in KS
Legal business name
HEARTLAND O&P INC.
Practice address
22215 Tupper Street
Suite B
Winfield, KS 67156
Phone
(620) 402-6789
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Joshua Blaine Pitts, C.P.O. 2980NPI 1871592550
Title
Owner
Phone
(620) 402-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X C.P.O. 2980 KS Primary

Addresses

Primary practice location

22215 Tupper Street
Suite B
Winfield, KS 67156

Mailing address

PO Box 1163
Arkansas City, KS 67005-1163
Phone (620) 402-6789

Other identifiers 1

IdentifierTypeStateIssuer
C.P.O.2980OtherKSAMERICAN BOARD OF CERTIFICATION FOR ORTHOTICS AND PROSTHETICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111000551 KS DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 0648406132 Practice locations: Winfiled, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Heartland O&P Inc22215 Tupper Street, Winfiled, KS 67156(620) 402-6789 Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Aug 16, 2013

National Provider Directory

National Provider Directory

Locations

22215 Tupper St
Ste B
Winfield, KS 67156
Phone (620) 402-6789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1255776415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051163",
            "telephone_number": "620-402-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 TUPPER STREET",
            "address_2": "SUITE B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67156",
            "telephone_number": "620-402-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND O&P INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-402-6789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O. 2980"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "C.P.O. 2980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF CERTIFICATION FOR ORTHOTICS AND PROSTHETICS",
            "identifier": "C.P.O.2980",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.