Organization Active NPI

Redstick Orthotic & Prothetic Enterprises

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
National Provider Identifier
1275234684
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REDSTICK ORTHOTIC & PROTHETIC ENTERPRISES
Practice address
7754 Florida Blvd
Baton Rouge, LA 70806-4706
Phone
(225) 316-5444
NPI assigned
Mar 13, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Mr. Dandre Mostella
Title
Owner
Phone
(225) 316-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

7754 Florida Blvd
Baton Rouge, LA 70806-4706

Mailing address

7754 Florida Blvd
Baton Rouge, LA 70806-4706
Phone (225) 316-5444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1275234684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064706",
            "telephone_number": "225-316-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064706",
            "telephone_number": "225-316-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTICK ORTHOTIC & PROTHETIC ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MOSTELLA",
        "authorized_official_first_name": "DANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-316-5444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.