Active NPI
Craig Richard Decamp, CPO
- Orthotist
- West Lafayette, IN
National Provider Identifier
1467949545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 2041 Klondike Rd
West Lafayette, IN 47906-5122 - Phone
- (765) 463-4100
- Fax
- (765) 463-4112
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
2041 Klondike Rd
West Lafayette, IN 47906-5122
Mailing address
2041 Klondike Rd
West Lafayette, IN 47906-5122
Phone (765) 463-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Limb & Brace, Inc | Orthotist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1467949545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 KLONDIKE RD",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479065122",
"telephone_number": "765-463-4100",
"fax_number": "765-463-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 KLONDIKE RD",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479065122",
"telephone_number": "765-463-4100",
"fax_number": "765-463-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECAMP",
"first_name": "CRAIG",
"middle_name": "RICHARD",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.