Dayton Artificial Limb Clinic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO1502 Issued in OH

Legal business name

DAYTON ARTIFICIAL LIMB CLINIC, INC.

Practice address

700 Harco Dr
Clayton, OH 45315-8793

Phone

(937) 898-2000

Fax

(937) 832-5361

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Luci Busch, CP LP

Title

V P of Operations

Phone

(937) 898-2200

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucinda Busch, CPLP

  • Prosthetist
  • Richmond, IN
  • NPI 1104500578
  NPD
• Tracy Slemker, CPO LPO

  • Prosthetist
  • Richmond, IN
  • NPI 1174207872
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1720089253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HARCO DR",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453158793",
            "telephone_number": "937-898-2000",
            "fax_number": "937-832-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HARCO DR",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453158793",
            "telephone_number": "937-898-2000",
            "fax_number": "937-832-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON ARTIFICIAL LIMB CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "LUCI",
        "authorized_official_title_or_position": "V P OF OPERATIONS",
        "authorized_official_telephone_number": "937-898-2200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CP LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "CPO1502",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000020050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Butler County Community Health Consortium, Inc.
• Hillary Campbell, STNA
• Grace Patricia Counts
• Katherine L Davis, PT
• Dayton Artificial Limb Clinic, Inc
• Dayton Pain Center LLC
• Dava J Derrick, CNP
• Fidelis Njok Elokobi, RN BSN
• Paul Frank
• Jade Frierson

• All providers in Clayton, OH
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.