Organization Active NPI

O&P Research Lab, Inc.

Doing business as Fikes Brace & Limb

  • Prosthetic/Orthotic Supplier
  • Mesa, AZ
National Provider Identifier
1366521049
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
O&P RESEARCH LAB, INC.
Doing business as
Fikes Brace & Limb
Practice address
6343 E Main St Ste B1
Mesa, AZ 85205-8972
Phone
(480) 981-7393
Fax
(480) 981-5807
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mrs. Connie S. Fikes, RN
Title
Treasurer
Phone
(480) 981-7393

Specialties & licenses 1

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

Addresses

Primary practice location

6343 E Main St Ste B1
Mesa, AZ 85205-8972

Mailing address

6343 E Main St Ste B1
Mesa, AZ 85205-8972
Phone (480) 981-7393

Other identifiers 10

IdentifierTypeStateIssuer
189707800OtherAZUS DEPT OF LABOR
80702OtherAZNORTHWOOD NPN
05-07-1191OtherAZSCF OF AZ
1Z6986OtherAZHEALTH NET
8487650OtherAZCMDP
AZ0277570OtherAZBLUE CROSS BLUE SHIELD AZ
062090OtherAZINDUSTRIAL COMMISSION
F04300OtherAZPHOENIX HEALTH PLAN
348765MedicaidAZ
52601OtherAZANTHEM BCBS

Other names 1

  • Fikes Brace & Limb Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053449 AZ DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 4082734082 Practice locations: Mesa, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
O&P Research Lab Fikes Brace & Limb6343 E Main St., Mesa, AZ 85205(480) 981-7393 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1366521049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST STE B1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058972",
            "telephone_number": "480-981-7393",
            "fax_number": "480-981-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST STE B1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058972",
            "telephone_number": "480-981-7393",
            "fax_number": "480-981-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&P RESEARCH LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "480-981-7393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "189707800",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN",
            "identifier": "80702",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCF OF AZ",
            "identifier": "05-07-1191",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z6986",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMDP",
            "identifier": "8487650",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0277570",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDUSTRIAL COMMISSION",
            "identifier": "062090",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN",
            "identifier": "F04300",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348765",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "52601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fikes Brace & Limb",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fikes Brace & Limb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.