Active NPI
Michael D Werner, BOCO
- Prosthetics Case Management
- Fenton, MO
National Provider Identifier
1730410333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 8 Ken Dr
Fenton, MO 63026-4412 - Phone
- (314) 630-9888
- Fax
- (636) 326-4242
- NPI assigned
- Jan 20, 2010
- Last updated
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | NU | Primary |
Addresses
Primary practice location
8 Ken Dr
Fenton, MO 63026-4412
Mailing address
8 Ken Dr
Fenton, MO 63026-4412
Phone (314) 630-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C26296 | Other | MO | BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1730410333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KEN DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630264412",
"telephone_number": "314-630-9888",
"fax_number": "636-326-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 KEN DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630264412",
"telephone_number": "314-630-9888",
"fax_number": "636-326-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "BOCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL",
"identifier": "C26296",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.