Organization Active NPI

Midwest Orthotic & Technology Center Omaha, LLC

Doing business as Trust Orthotic Technologies

  • Prosthetic/Orthotic Supplier
  • Omaha, NE
National Provider Identifier
1477722445
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MIDWEST ORTHOTIC & TECHNOLOGY CENTER OMAHA, LLC
Doing business as
Trust Orthotic Technologies
Practice address
11225 Davenport St
Suite 106
Omaha, NE 68154-2641
Phone
(402) 933-3942
Fax
(402) 964-2926
NPI assigned
Feb 25, 2008
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST ORTHOTIC SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Bernie T Veldman, C.O.
Title
Managing Partner
Phone
(574) 233-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

11225 Davenport St
Suite 106
Omaha, NE 68154-2641

Mailing address

17530 Dugdale Dr
South Bend, IN 46635-1583

Other identifiers 1

IdentifierTypeStateIssuer
1--25653000MedicaidNE

Other names 1

  • TRUST ORTHOTIC TECHNOLOGIES Doing business as

National Provider Directory

National Provider Directory
Part of
Transcend Orthotics Prosthetics LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11225 Davenport St
Ste 106
Omaha, NE 68154
Phone (402) 933-3942

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1477722445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 DUGDALE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 DAVENPORT ST",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542641",
            "telephone_number": "402-933-3942",
            "fax_number": "402-964-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORTHOTIC & TECHNOLOGY CENTER OMAHA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST ORTHOTIC SERVICES, LLC",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "VELDMAN",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "574-233-3352",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1--25653000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUST ORTHOTIC TECHNOLOGIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.