Active NPI
Hanger Prosthetics & Orthotics East Inc
- Prosthetic/Orthotic Supplier
- Rochester, MN
National Provider Identifier
1730170572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HANGER PROSTHETICS & ORTHOTICS EAST INC
- Doing business as
- Lair's Shoes a Hanger Clinic
- Practice address
- 155 1St Ave SW Ste S20
Rochester, MN 55902-3136 - Phone
- (507) 282-3141
- Fax
- (507) 282-0554
- NPI assigned
- Nov 1, 2005
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Angeline
- Title
- Reg Compliance Specialist III
- Phone
- (714) 961-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
155 1St Ave SW Ste S20
Rochester, MN 55902-3136
Mailing address
PO Box 650846
Dallas, TX 75265-0846
Phone (507) 282-3141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0722645 | Medicaid | IA | |
| 41759300 | Medicaid | WI | |
| 538942900 | Medicaid | MN |
Other names 1
- Lair's Shoes a Hanger Clinic
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1659443380
Member Of
Locations
155 1st Ave SW
Ste S20
Rochester, MN 55902
Phone (507) 282-3141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546905600000",
"number": "1730170572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650846",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650846",
"telephone_number": "507-282-3141",
"fax_number": "507-282-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 1ST AVE SW STE S20",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559023136",
"telephone_number": "507-282-3141",
"fax_number": "507-282-0554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANGER PROSTHETICS & ORTHOTICS EAST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2005-11-01",
"last_updated": "2019-01-08",
"status": "A",
"authorized_official_last_name": "ANGELINE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
"authorized_official_telephone_number": "714-961-2102"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0722645",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41759300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "538942900",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lair's Shoes a Hanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.