Organization Active NPI

Teter Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Grayling, MI
National Provider Identifier
1598783557
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TETER ORTHOTICS & PROSTHETICS, INC
Practice address
604 Galen St
Grayling, MI 49738-8788
Phone
(989) 732-1400
Fax
(989) 732-1442
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization
TETER ORTHOTICS & PROSTHETICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carol S Humfleet
Title
Office MGR.
Phone
(231) 947-5701

Specialties & licenses 1

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

Addresses

Primary practice location

604 Galen St
Grayling, MI 49738-8788

Mailing address

604 Galen St
Grayling, MI 49738-8788
Phone (989) 732-1400

Other identifiers 1

IdentifierTypeStateIssuer
4982513MedicaidMI

National Provider Directory

National Provider Directory
Part of
Teter Orthotics and

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598783557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GALEN ST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388788",
            "telephone_number": "989-732-1400",
            "fax_number": "989-732-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GALEN ST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388788",
            "telephone_number": "989-732-1400",
            "fax_number": "989-732-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETER ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TETER ORTHOTICS & PROSTHETICS, INC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "HUMFLEET",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "231-947-5701"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4982513",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.