NPIMap

Organization Active NPI

Orthotic and Prosthetic Lab, Inc

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
National Provider Identifier
1649331596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOTIC AND PROSTHETIC LAB, INC
Practice address
845 North New Ballas Court
Suite 320
Creve Coeur, MO 63141-7169
Phone
(314) 567-6110
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. David J Osterman
Title
Owner
Phone
(314) 968-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

845 North New Ballas Court
Suite 320
Creve Coeur, MO 63141-7169

Mailing address

748 Marshall Ave
Saint Louis, MO 63119-1924
Phone (314) 968-8555

National Provider Directory

National Provider Directory
Tax ID family
Orthotic and Prosthetic Lab Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

845 N New Ballas Ct
Ste 320
Creve Coeur, MO 63141
Phone (314) 567-6110

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649331596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MARSHALL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191924",
            "telephone_number": "314-968-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NORTH NEW BALLAS COURT",
            "address_2": "SUITE 320",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417169",
            "telephone_number": "314-567-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC AND PROSTHETIC LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-968-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

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.