Dove Orthotics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOVE ORTHOTICS, INC

Doing business as

DOVE MEDICAL SUPPLIES

Practice address

4114 Union Rd
Cheektowaga, NY 14225-3406

Phone

(716) 688-8911

Fax

(716) 688-9193

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Loretta Carr-Stock, R.N.

Title

President

Phone

(716) 688-8911

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• DOVE MEDICAL SUPPLIES Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609957307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253406",
            "telephone_number": "716-688-8911",
            "fax_number": "716-688-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253406",
            "telephone_number": "716-688-8911",
            "fax_number": "716-688-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR-STOCK",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-688-8911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000551319002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8201188",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02094842",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030419702",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8290806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOVE MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Nicole Donn, PA-C
• Julie Donovan, LMSW
• Danielle Dorchak, ATC
• Mary Beth Doster
• William Doty, RN
• Dr Paul C. Nasca
• Dr. Ali M. Jafari DC PC
• Dr. Thomas M. Kaminksa, OD
• Matthew Thomas Druar, B.S.W.
• Thomas Drzymala, RN

• Durable Medical Equipment & Medical Supplies in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.