Active NPI
Orthopedic Appliance & Brace Center Inc.
- Prosthetic/Orthotic Supplier
- Providence, RI
National Provider Identifier
1376690982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CP00008
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200837 | Other | RI | BLUE CHIP OF R.I. |
| 2959 | Other | RI | NEIGHBORHOOD HEALTH OF RI |
| 9009701 | Medicaid | RI | |
| 9701-9 | Other | RI | BLUE CROSS OF R.I. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039380 | RI | DME Supplier - Orthotic Personnel | 9436277324 | Practice locations: Providence, RI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Providence, RI
- NPI 1861486847
-
- Chiropractor
- Seekonk, MA
- NPI 1619028560
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.