Lafayette Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CO003825 Issued in LA

Legal business name

LAFAYETTE ORTHOTICS, INC.

Practice address

500 Saint Landry St
Lafayette, LA 70506-4626

Phone

(337) 232-7647

Fax

(337) 232-4021

NPI assigned

Jul 5, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John R. Moore, C.O., B.O.C.

Title

Ownder

Phone

(337) 232-7647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508863689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064626",
            "telephone_number": "337-232-7647",
            "fax_number": "337-232-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064626",
            "telephone_number": "337-232-7647",
            "fax_number": "337-232-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "337-232-7647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O., B.O.C."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "CO003825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316504",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lafayette Integrative Medicine LLC
• Lafayette Intensive Outpatient, LLC
• Lafayette Internal Medicine Clinic LLC
• Lafayette la Opco LLC (Maison de Lafayette of LA)
• Lafayette OB Hospitalists LLC (Lafayette OB Hospitalists)
• Lafayette Parish School Board
• Lafayette Parish School Board General Fund (Carencro Middle School Based Health Center)
• Lafayette Parish School System
• Lafayette Parish School System
• Lafayette Parish Sheriff's Office (Acadiana Recovery Center Outpatient)

• Prosthetic/Orthotic Supplier in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.