Active NPI
TLG Inc
- Prosthetic/Orthotic Supplier
- Munster, IN
National Provider Identifier
1568459014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.