NPIMap

Organization Active NPI

North Ottawa Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Grand Haven, MI
National Provider Identifier
1487980405
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO2816 Issued in IL
Legal business name
NORTH OTTAWA ORTHOTICS AND PROSTHETICS
Practice address
1309 Sheldon Rd
Orthotics Dept.
Grand Haven, MI 49417-2404
Phone
(616) 847-5365
Fax
(616) 847-5294
NPI assigned
Oct 27, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Gerald Michael Lunsford, CO
Title
Certified Orthotist/ Manager
Phone
(616) 847-5365

Corporate family (same tax ID) 4

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

National Provider Directory

National Provider Directory
Tax ID family
North Ottawa Orthotics and Prosthetics (5 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO2816 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1309 Sheldon Rd
Orthotics Dept.
Grand Haven, MI 49417-2404

Mailing address

1309 Sheldon Rd
Orthotics Dept.
Grand Haven, MI 49417-2404
Phone (616) 847-5365

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2009.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1487980405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "address_2": "ORTHOTICS DEPT.",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5365",
            "fax_number": "616-847-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "address_2": "ORTHOTICS DEPT.",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5365",
            "fax_number": "616-847-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OTTAWA ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "LUNSFORD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST/ MANAGER",
        "authorized_official_telephone_number": "616-847-5365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "CO2816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.