NPIMap

Organization Active NPI

Orthotic Center, Inc.

  • Customized Equipment (DME)
  • Solon, OH
National Provider Identifier
1457324899
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ORTHOTIC CENTER, INC.
Practice address
31100 Solon Rd
Solon, OH 44139-2843
Phone
(440) 528-8222
Fax
(440) 528-8228
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Mr. Ken Greene, C.O.
Title
President
Phone
(440) 528-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

31100 Solon Rd
Solon, OH 44139-2843

Mailing address

31100 Solon Rd
PO Box 39415
Solon, OH 44139-3462
Phone (440) 528-8222

Other identifiers 4

IdentifierTypeStateIssuer
0480500MedicaidOH
004229979MedicaidCT
000000155524OtherOHANTHEM BCBS
4434706MedicaidMI

Other names 1

  • OrthoConcepts Doing business as

National Provider Directory

National Provider Directory

Locations

31100 Solon Rd
Solon, OH 44139
Phone (440) 528-8222

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1457324899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 SOLON RD",
            "address_2": "PO BOX 39415",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393462",
            "telephone_number": "440-528-8222",
            "fax_number": "440-528-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 SOLON RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392843",
            "telephone_number": "440-528-8222",
            "fax_number": "440-528-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-528-8222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004229979",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155524",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoConcepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.