Active NPI
Alpha-Omega Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 2021 S Waverly Ave Ste 300
Springfield, MO 65804-2417 - Phone
- (417) 886-8881
- Fax
- (417) 881-8223
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald A Vahl, CPO
- Title
- President
- Phone
- (417) 886-8881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2021 S Waverly Ave Ste 300
Springfield, MO 65804-2417
Mailing address
2021 S Waverly Ave Ste 300
Springfield, MO 65804-2417
Phone (417) 886-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31440 | Other | MO | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053142 | MO | DME Supplier - Orthotic Personnel | 7113047515 | Practice locations: Springfield, MO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Bolivar, MO
- NPI 1588085278
7113047515
-
- Prosthetic/Orthotic Supplier
- West Plains, MO
- NPI 1780781922
7113047515
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alpha-Omega Orthotics & Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Alpha-Omega Orthotics Prosthetics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Bolivar, MO
- NPI 1588085278
-
- Prosthetic/Orthotic Supplier
- West Plains, MO
- NPI 1780781922
Locations
308 N Kentucky Ave
Ste 4
West Plains, MO 65775
Phone (417) 257-7411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Springfield, MO
- NPI 1124136890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679684013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S WAVERLY AVE STE 300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042417",
"telephone_number": "417-886-8881",
"fax_number": "417-881-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 S WAVERLY AVE STE 300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042417",
"telephone_number": "417-886-8881",
"fax_number": "417-881-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VAHL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-886-8881",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "31440",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- 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.
- 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.