Organization Active NPI

Custom Fits O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Tamarac, FL
National Provider Identifier
1306919808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CUSTOM FITS O & P SERVICES INC
Practice address
8401 W McNab Road
Tamarac, FL 33321
Phone
(954) 721-7301
Fax
(954) 721-7453
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Christopher Thigpen, CO LCPED
Title
President
Phone
(954) 721-7301

Specialties & licenses 1

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

Addresses

Primary practice location

8401 W McNab Road
Tamarac, FL 33321

Mailing address

8401 W McNab Road
Tamarac, FL 33321
Phone (954) 721-7301

Other identifiers 6

IdentifierTypeStateIssuer
1047364OtherCAREPLUS
50540OtherNEIGHBORHOOD HEALTH
M2678OtherBCBS
POS7973523OtherHMO
10582OtherTOTAL HEALTH CHOICE
3475892OtherAETNA

National Provider Directory

National Provider Directory

Locations

8401 W McNab Rd
Tamarac, FL 33321
Phone (954) 721-7301

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306919808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W MCNAB ROAD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-721-7301",
            "fax_number": "954-721-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 W MCNAB ROAD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-721-7301",
            "fax_number": "954-721-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM FITS O & P SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-721-7301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO LCPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1047364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "50540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M2678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "POS7973523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE",
            "identifier": "10582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3475892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.