Organization Active NPI

Ortho Design Inc

  • Durable Medical Equipment & Medical Supplies
  • Plantation, FL
National Provider Identifier
1700995198
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ORT11 Issued in FL
Legal business name
ORTHO DESIGN INC
Practice address
447 NW 73Rd Ave
Plantation, FL 33317-1608
Phone
(954) 797-0181
Fax
(954) 797-0332
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Mr. Peter Michael Bukacheski
Title
Owner
Phone
(954) 797-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ORT11 FL Primary

Addresses

Primary practice location

447 NW 73Rd Ave
Plantation, FL 33317-1608

Mailing address

447 NW 73Rd Ave
Plantation, FL 33317-1608
Phone (954) 797-0181

Other identifiers 1

IdentifierTypeStateIssuer
032336500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1700995198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171608",
            "telephone_number": "954-797-0181",
            "fax_number": "954-797-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171608",
            "telephone_number": "954-797-0181",
            "fax_number": "954-797-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO DESIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "BUKACHESKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-797-0181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ORT11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032336500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.