Organization Active NPI

Fidelity Orthopedic Incorporated

  • Prosthetic/Orthotic Supplier
  • Dayton, OH
National Provider Identifier
1285608802
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FIDELITY ORTHOPEDIC INCORPORATED
Practice address
8514 N Main St
Dayton, OH 45415-1325
Phone
(937) 228-0682
Fax
(937) 228-8193
NPI assigned
Feb 13, 2006
Organization subpart
Yes
Parent organization
FIDELITY ORTHOPEDIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mr. Hilmo Hodzic, CP
Title
President
Phone
(937) 228-0682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

8514 N Main St
Dayton, OH 45415-1325

Mailing address

8514 N Main St
Dayton, OH 45415-1325
Phone (937) 228-0682

Other identifiers 1

IdentifierTypeStateIssuer
2728347MedicaidOH

National Provider Directory

National Provider Directory
Part of
Fidelity Orthopedic

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1285608802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151325",
            "telephone_number": "937-228-0682",
            "fax_number": "937-228-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151325",
            "telephone_number": "937-228-0682",
            "fax_number": "937-228-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY ORTHOPEDIC INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIDELITY ORTHOPEDIC INC",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "HODZIC",
        "authorized_official_first_name": "HILMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-228-0682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.