NPIMap

Organization Active NPI

Total Care Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Tulsa, OK
National Provider Identifier
1477905669
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TOTAL CARE ORTHOTICS AND PROSTHETICS
Practice address
1145 S Utica Ave
Suite G 12
Tulsa, OK 74104-4000
Phone
(539) 664-4422
Fax
(918) 779-7055
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mr. John Brestovansky
Title
Owner/Clician
Phone
(918) 502-5975

Specialties & licenses 1

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

Addresses

Primary practice location

1145 S Utica Ave
Suite G 12
Tulsa, OK 74104-4000

Mailing address

1145 S Utica Ave
Suite G 12
Tulsa, OK 74104-4000
Phone (918) 502-5975

National Provider Directory

National Provider Directory
Tax ID family
Total Care Orthotics and Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1145 S Utica Ave
Ste G12
Tulsa, OK 74104
Phone (918) 579-5788

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1477905669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE G 12",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-502-5975",
            "fax_number": "918-502-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE G 12",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "539-664-4422",
            "fax_number": "918-779-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BRESTOVANSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CLICIAN",
        "authorized_official_telephone_number": "918-502-5975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.