Active NPI
Steve Metzger
- Orthotist
- Mandan, ND
National Provider Identifier
1679522387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO003506
- Practice address
- 104 3Rd Ave NW
#302
Mandan, ND 58554-3163 - Phone
- (701) 663-0602
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO003506 | ND | Primary |
Addresses
Primary practice location
104 3Rd Ave NW
#302
Mandan, ND 58554-3163
Mailing address
1124 N 33Rd St
Bismarck, ND 58501-7786
Phone (701) 220-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO003506 | ND | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1679522387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N 33RD ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585017786",
"telephone_number": "701-220-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 3RD AVE NW",
"address_2": "#302",
"city": "MANDAN",
"state": "ND",
"postal_code": "585543163",
"telephone_number": "701-663-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "STEVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "ND",
"license": "CO003506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.