Landra Prosthetics and Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LANDRA PROSTHETICS AND ORTHOTICS INC

Doing business as

Landra Prosthetics & Orthotics

Practice address

14725 Northline Rd
Southgate, MI 48195-2407

Phone

(734) 281-8144

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven James Landra, C.P.O.

Title

President

Phone

(734) 281-8144

Specialties & licenses 1

Addresses

Other names 1

• Landra Prosthetics & Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Landra Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Monroe, MI
  • NPI 1487892436

  3375747728

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Landra Prosthetics and Orthotics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Landra Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Monroe, MI
  • NPI 1487892436
  NPD tax ID
• Landra Prosthetics and Orthotics, Inc

  • Prosthetic/Orthotic Supplier
  • Saint Clair Shores, MI
  • NPI 1952640930
  NPD tax ID

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1659458214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481830034",
            "telephone_number": "734-281-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952407",
            "telephone_number": "734-281-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRA PROSTHETICS AND ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "LANDRA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-281-8144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landra Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Laderach
• Kate Anne Lafayette, M.S.S.A., LMSW
• Michael Patrick Lamay II
• Rita M Lambrix, LMSW
• Lamis,Inc.
• Breanna Laplante, RN
• Karen Ann Lappin, MSW
• Daniela Lara-Guzman, MSW
• Ann Oppolia Larson
• Charles Larzelere

• Prosthetic/Orthotic Supplier in Southgate, MI
• Providers in Southgate, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.