Organization Active NPI

Spectrum Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Des Moines, IA
National Provider Identifier
1700888773
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SPECTRUM PROSTHETICS & ORTHOTICS
Practice address
1300 Des Moines St Ste 101
Des Moines, IA 50309-5547
Phone
(515) 243-1443
Fax
(515) 243-5382
NPI assigned
Aug 10, 2005
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Mr. Todd A Schweizer
Title
President
Phone
(515) 243-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1300 Des Moines St Ste 101
Des Moines, IA 50309-5547

Mailing address

1349 NW 121St St
#300
Clive, IA 50325-8145
Phone (515) 243-1443

Other identifiers 2

IdentifierTypeStateIssuer
0284711MedicaidIA
33524OtherIAWELLMARK BCBS

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Prosthetics Orthotics Inc3 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.

Locations

1300 Des Moines St
Ste 101
Des Moines, IA 50309
Phone (515) 243-1443

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1700888773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 NW 121ST ST",
            "address_2": "#300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258145",
            "telephone_number": "515-243-1443",
            "fax_number": "515-243-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DES MOINES ST STE 101",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095547",
            "telephone_number": "515-243-1443",
            "fax_number": "515-243-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "SCHWEIZER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-243-1443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284711",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "33524",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.