Active NPI
Becker Orthopedic Appliance Company
- Prosthetic/Orthotic Supplier
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BECKER ORTHOPEDIC APPLIANCE COMPANY
- Practice address
- 4800 Highland Rd
Suite 1
Waterford, MI 48328-1176 - Phone
- (248) 674-9600
- Fax
- (248) 674-9603
- NPI assigned
- May 11, 2006
- Last updated
- Apr 10, 2015
- 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. Timothy Piggott
- Title
- Business Manager
- Phone
- (248) 588-7480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
4800 Highland Rd
Suite 1
Waterford, MI 48328-1176
Mailing address
635 Executive Dr
Troy, MI 48083-4536
Phone (248) 588-7480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4370190 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930089055 | MI | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3870610595 | Practice locations: Waterford, MI |
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
- Berkley, MI
- NPI 1275536153
3870610595
-
- Prosthetic/Orthotic Supplier
- Detroit, MI
- NPI 1306896238
3870610595
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 |
|---|---|---|
| Becker Orthopedic Appliance Company | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Becker Orthopedic Appliance Company
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Berkley, MI
- NPI 1275536153
-
- Prosthetic/Orthotic Supplier
- Detroit, MI
- NPI 1306896238
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Grand Blanc, MI
- NPI 1720049257
Member Of
Locations
2799 W Grand Blvd
Ste E1225
Detroit, MI 48202
Phone (313) 916-2201
4800 Highland Rd
Ste 1
Waterford, MI 48328
Phone (248) 674-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1730139650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 EXECUTIVE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480834536",
"telephone_number": "248-588-7480",
"fax_number": "248-588-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 HIGHLAND RD",
"address_2": "SUITE 1",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281176",
"telephone_number": "248-674-9600",
"fax_number": "248-674-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKER ORTHOPEDIC APPLIANCE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "PIGGOTT",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "248-588-7480",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4370190",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.