John Callan Orthotic Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

04258361-0000 Issued in CO

Legal business name

JOHN CALLAN ORTHOTIC SERVICES, INC.

Practice address

1729 N Weber St
Colorado Springs, CO 80907-7503

Phone

(719) 799-6529

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Michael Callan, C.O.NPI 1285657411

Title

President

Phone

(719) 799-6529

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Callan, C. O.

  • Orthotist
  • Colorado Springs, CO
  • NPI 1285657411
  NPD (past) Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1346428992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809011358",
            "telephone_number": "719-799-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077503",
            "telephone_number": "719-799-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CALLAN ORTHOTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-799-6529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "04258361-0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "NPI # 1346428992",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77100069",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "NPI 1346428992",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.