Organization Active NPI

Orthopedic Appliance & Brace Center Inc.

  • Prosthetic/Orthotic Supplier
  • Providence, RI
National Provider Identifier
1376690982
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CP00008 Issued in RI
Legal business name
ORTHOPEDIC APPLIANCE & BRACE CENTER INC.
Practice address
280 Broadway
Providence, RI 02903-3007
Phone
(401) 331-5548
Fax
(401) 621-8691
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Mr. William Peter Lonardo, C.O.
Title
Vice President
Phone
(401) 331-5548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CP00008 RI Primary

Addresses

Primary practice location

280 Broadway
Providence, RI 02903-3007

Mailing address

280 Broadway
Providence, RI 02903-3007
Phone (401) 331-5548

Other identifiers 4

IdentifierTypeStateIssuer
200837OtherRIBLUE CHIP OF R.I.
2959OtherRINEIGHBORHOOD HEALTH OF RI
9009701MedicaidRI
9701-9OtherRIBLUE CROSS OF R.I.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930039380 RI DME Supplier - Orthotic Personnel 9436277324 Practice locations: Providence, RI

National Provider Directory

National Provider Directory

Locations

280 Broadway
Ste 100
Providence, RI 02903
Phone (401) 331-5548

Practitioners & affiliated clinicians

Practitioners 2

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1376690982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-331-5548",
            "fax_number": "401-621-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-331-5548",
            "fax_number": "401-621-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC APPLIANCE & BRACE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "LONARDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-331-5548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CP00008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF R.I.",
            "identifier": "200837",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH OF RI",
            "identifier": "2959",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009701",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF R.I.",
            "identifier": "9701-9",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.