Organization Active NPI

Chladek Orthotic & Prosthetic Assoc., Inc.

  • Prosthetic/Orthotic Supplier
  • Clive, IA
National Provider Identifier
1659549186
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CHLADEK ORTHOTIC & PROSTHETIC ASSOC., INC.
Practice address
12871 University Ave
Suite 120
Clive, IA 50325-8255
Phone
(515) 222-1116
Fax
(515) 222-0116
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Mr. Noel J Chladek, CO
Title
Owner
Phone
(515) 244-4040

Specialties & licenses 1

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

Addresses

Primary practice location

12871 University Ave
Suite 120
Clive, IA 50325-8255

Mailing address

12871 University Ave
Suite 120
Clive, IA 50325-8255
Phone (515) 222-1116

National Provider Directory

National Provider Directory

Locations

1300 Keosauqua Way
Des Moines, IA 50309
Phone (515) 222-1116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1659549186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258255",
            "telephone_number": "515-222-1116",
            "fax_number": "515-222-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258255",
            "telephone_number": "515-222-1116",
            "fax_number": "515-222-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLADEK ORTHOTIC & PROSTHETIC ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "CHLADEK",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-244-4040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.