NPIMap

Organization Active NPI

Kensington Valley Orthotic & Sports Services

  • Prosthetic/Orthotic Supplier
  • Hamburg, MI
National Provider Identifier
1528033909
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KENSINGTON VALLEY ORTHOTIC & SPORTS SERVICES
Practice address
10020 Professional Canter Dr.
Hamburg, MI 48139-0215
Phone
(810) 231-6905
Fax
(810) 231-6906
NPI assigned
Feb 21, 2006
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mr. Daniel Quentin Minert, C.O.NPI 1306811765
Title
President/Owner
Phone
(810) 231-6905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10020 Professional Canter Dr.
Hamburg, MI 48139-0215

Mailing address

PO Box 215
Hamburg, MI 48139-0215
Phone (810) 231-6905

National Provider Directory

National Provider Directory

Locations

10020 Professional Centre Dr
Whitmore Lake, MI 48189
Phone (810) 231-0252

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1528033909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390215",
            "telephone_number": "810-231-6905",
            "fax_number": "801-231-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 PROFESSIONAL CANTER DR.",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390215",
            "telephone_number": "810-231-6905",
            "fax_number": "810-231-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON VALLEY ORTHOTIC & SPORTS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "MINERT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-231-6905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.