Organization Active NPI

TLG Inc

  • Prosthetic/Orthotic Supplier
  • Munster, IN
National Provider Identifier
1568459014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TLG INC
Practice address
921 Ridge Rd
C2
Munster, IN 46321-1739
Phone
(219) 836-0011
Fax
(219) 836-0140
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Theresa Hester Johnson, CERTIFIED FITTER
Title
Company President Owner Fitter
Phone
(219) 836-0011

Specialties & licenses 1

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

Addresses

Primary practice location

921 Ridge Rd
C2
Munster, IN 46321-1739

Mailing address

921 Ridge Rd
C2
Munster, IN 46321-1739
Phone (219) 836-0011

Other names 1

  • Cocos Boutique & Specialty Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

921 Ridge Rd
#C2
Munster, IN 46321
Phone (219) 836-0011

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568459014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 RIDGE RD",
            "address_2": "C2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211739",
            "telephone_number": "219-836-0011",
            "fax_number": "219-836-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 RIDGE RD",
            "address_2": "C2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211739",
            "telephone_number": "219-836-0011",
            "fax_number": "219-836-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "HESTER",
        "authorized_official_title_or_position": "COMPANY PRESIDENT OWNER FITTER",
        "authorized_official_telephone_number": "219-836-0011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED FITTER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocos Boutique & Specialty Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • 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.