Organization Active NPI

Smithotics LLC

  • Prosthetic/Orthotic Supplier
  • Elgin, IL
National Provider Identifier
1649545286
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
248000569 Issued in IL
Legal business name
SMITHOTICS LLC
Practice address
75 Market St
Ste 4
Elgin, IL 60123-5093
Phone
(224) 653-8411
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Mr. Johan Michael Smith, CPO
Title
Licensed Orthotist Prosthetist
Phone
(224) 653-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 248000569 IL Primary

Addresses

Primary practice location

75 Market St
Ste 4
Elgin, IL 60123-5093

Mailing address

75 Market St
Suite 4
Elgin, IL 60123-5093
Phone (224) 653-8411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1649545286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "SUITE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "224-653-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "STE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "224-653-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED ORTHOTIST PROSTHETIST",
        "authorized_official_telephone_number": "224-653-8411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "248000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.