Organization Active NPI

Ottobock Medicalcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
National Provider Identifier
1326486242
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OTTOBOCK MEDICALCARE LLC
Practice address
14800 28TH Ave N
Suite 110-a
Minneapolis, MN 55447-4873
Phone
(800) 328-4058
Fax
(763) 253-5779
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mrs. Sharon Clark
Title
Manager
Phone
(763) 253-5679

Specialties & licenses 2

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

Addresses

Primary practice location

14800 28TH Ave N
Suite 110-a
Minneapolis, MN 55447-4873

Mailing address

2 Carlson Pkwy N
Suite 100
Minneapolis, MN 55447-4466
Phone (763) 253-5679

National Provider Directory

National Provider Directory

Locations

14800 28th Ave N
Ste 110A
Minneapolis, MN 55447
Phone (800) 328-4058

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1326486242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554474466",
            "telephone_number": "763-253-5679",
            "fax_number": "763-253-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 28TH AVE N",
            "address_2": "SUITE 110-A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554474873",
            "telephone_number": "800-328-4058",
            "fax_number": "763-253-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTOBOCK MEDICALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-253-5679",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

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