Organization Active NPI

Seniorcare Orthotics Inc

  • Customized Equipment (DME)
  • Kirkwood, MO
National Provider Identifier
1679840607
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SENIORCARE ORTHOTICS INC
Practice address
12166 Old Big Bend Road
Suite 303
Kirkwood, MO 63122-6836
Phone
(314) 821-2600
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Don Havey
Title
President
Phone
(314) 497-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

12166 Old Big Bend Road
Suite 303
Kirkwood, MO 63122-6836

Mailing address

12166 Old Big Bend Road
Suite 303
Kirkwood, MO 63122-6836
Phone (314) 821-2600

National Provider Directory

National Provider Directory

Locations

12166 Old Big Bend Rd
Ste 303
Saint Louis, MO 63122
Phone (314) 821-2600

Practitioners & affiliated clinicians

Practitioners 1

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1679840607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND ROAD",
            "address_2": "SUITE 303",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-821-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND ROAD",
            "address_2": "SUITE 303",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-821-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "HAVEY",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-497-7782",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.