Alan John Kercher, LP BOCP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

00378 Issued in OH

Practice address

92 Stableton Way
Springboro, OH 45066-7501

Phone

(937) 623-2357

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1659800100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 STABLETON WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667501",
            "telephone_number": "937-623-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STABLETON WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667501",
            "telephone_number": "937-623-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHER",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LP BOCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "00378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Springboro, OH
• Providers in Springboro, OH by specialty
• Prosthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.