Action Brace & Prosthetic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ACTION BRACE & PROSTHETIC, INC.

Practice address

5942 W 71St St
Indianapolis, IN 46278-1728

Phone

(317) 347-4222

Fax

(317) 347-4227

NPI assigned

Aug 30, 2006

Organization subpart

No

Name

Mr. Kevin W. Hagemeier, CPO, C. PED

Title

President

Phone

(317) 347-4222

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2008.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1427167352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781728",
            "telephone_number": "317-347-4222",
            "fax_number": "317-347-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781728",
            "telephone_number": "317-347-4222",
            "fax_number": "317-347-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BRACE & PROSTHETIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HAGEMEIER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-347-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, C. PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.