Active NPI
Larry Kindle, CO
- Orthotist
- Tahlequah, OK
National Provider Identifier
1649417395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- LO15
- Practice address
- 1510 E Shawnee Cir
Tahlequah, OK 74464-2528 - Phone
- (918) 431-1945
- Fax
- (918) 431-1974
- NPI assigned
- Jan 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | LO15 | OK | Primary |
Addresses
Primary practice location
1510 E Shawnee Cir
Tahlequah, OK 74464-2528
Mailing address
1510 E Shawnee Cir
Tahlequah, OK 74464-2528
Phone (918) 431-1945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LO15 | OK | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanger Prosthetics & Orthotics East Inc | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Jersey City, NJ
- NPI 1205624301
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1649417395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 E SHAWNEE CIR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744642528",
"telephone_number": "918-431-1945",
"fax_number": "918-431-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E SHAWNEE CIR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744642528",
"telephone_number": "918-431-1945",
"fax_number": "918-431-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLE",
"first_name": "LARRY",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OK",
"license": "LO15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.