Kochs Orthotic and Prosthetics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KOCHS ORTHOTIC AND PROSTHETICS

Practice address

30021 Greenfield Rd
Suite 200
Southfield, MI 48076-1524

Phone

(248) 723-5452

Fax

(248) 723-5495

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marcello Girao, CO-PED

Title

Owner

Phone

(734) 723-5452

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Kochs Orthotic and Prosthetics3 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.

• Kochs Orthotic Prosthetic Services Inc

  • Prosthetic/Orthotic Supplier
  • Ypsilanti, MI
  • NPI 1386694974
  NPD tax ID
• Kochs Orthotics and Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Chelsea, MI
  • NPI 1477610210
  NPD tax ID

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669538013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30021 GREENFIELD RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761524",
            "telephone_number": "248-723-5452",
            "fax_number": "248-723-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30021 GREENFIELD RD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761524",
            "telephone_number": "248-723-5452",
            "fax_number": "248-723-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCHS ORTHOTIC AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRAO",
        "authorized_official_first_name": "MARCELLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-723-5452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO-PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P43246",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "100122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Andrew Knesek, DO
• Jasmine Knight, LMSW
• Myron Knight
• Angela Knopek, COTAL
• Knowledge of Self
• Manjuli Kodagoda, M.D.
• Elise Koelsch
• Vanita Upendra Koepke, DPT
• Tina Koester, D.O.
• James Douglas Kohler, D.D.S.

• Customized Equipment (DME) in Southfield, MI
• Providers in Southfield, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.