Center for Orthotic & Prosthetic Excellence, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC

Doing business as

Center for Orthotic & Prosthetic Excellence, LLC

Practice address

951 Transport Dr
Valparaiso, IN 46383-8434

Phone

(219) 365-0248

NPI assigned

Oct 22, 2024

Last updated

Oct 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendra F Mickelson

Title

Manager of Revenue Cycle Management

Phone

(309) 285-7752

Specialties & licenses 1

Addresses

Other names 1

• Center for Orthotic & Prosthetic Excellence, LLC Doing business as

Tax ID family

Center for Orthotic Prosthetic Excellence LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Orthotic & Prosthetic Excellence, LLC

  • Prosthetic/Orthotic Supplier
  • Highland, IN
  • NPI 1275847246
  NPD tax ID
• Center for Orthotic & Prosthetic Excellence, LLC

  • Prosthetic/Orthotic Supplier
  • Crown Point, IN
  • NPI 1346424728
  NPD tax ID

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1427879428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W MAIN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061953",
            "telephone_number": "219-365-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 TRANSPORT DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838434",
            "telephone_number": "219-365-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "309-285-7752"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orthotic & Prosthetic Excellence, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Kyle Cavanaugh, D.D.S.
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• Prosthetic/Orthotic Supplier in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.