NPIMap

Organization Active NPI

Innovative Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Omaha, NE
National Provider Identifier
1295048577
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
INNOVATIVE PROSTHETICS & ORTHOTICS
Practice address
9202 W Dodge Rd Ste 110
Omaha, NE 68114-3318
Phone
(402) 933-1393
Fax
(402) 933-1899
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mr. Rakesh K SrivastavaNPI 1902841356
Title
Owner
Phone
(402) 461-4931

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

9202 W Dodge Rd Ste 110
Omaha, NE 68114-3318

Mailing address

223 E 14TH St Ste 5
Hastings, NE 68901-3240
Phone (402) 461-4931

Other names 1

  • Children's Orthotics & Prosthetics Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000052 NE DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic Personnel 1850575739 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

223 E 14th St
Ste 5
Hastings, NE 68901
Phone (402) 461-4931

6160 University Dr S
Omaha, NE 68182
Phone (402) 554-6430

Practitioners & affiliated clinicians

Practitioners 6

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": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1295048577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST STE 5",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013240",
            "telephone_number": "402-461-4931",
            "fax_number": "402-461-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 W DODGE RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143318",
            "telephone_number": "402-933-1393",
            "fax_number": "402-933-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-461-4931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Orthotics & Prosthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.

Verify at the official NPI Registry.