Active NPI
Kellers Limb & Brace
Doing business as Snells of Jackson
- Prosthetic/Orthotic Supplier
- Jackson, TN
National Provider Identifier
1740260553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- KELLERS LIMB & BRACE
- Doing business as
- Snells of Jackson
- Practice address
- 744 W Forest Ave
Jackson, TN 38301 - Phone
- (731) 423-3121
- Fax
- (731) 423-8530
- NPI assigned
- Jan 18, 2006
- 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. Dennis J Daniel, CPO
- Title
- Vice President
- Phone
- (731) 423-3121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
744 W Forest Ave
Jackson, TN 38301
Mailing address
744 W Forest Ave
Jackson, TN 38301
Phone (731) 423-3121
Other names 1
- Snells of Jackson
National Provider Directory
National Provider DirectoryLocations
744 W Forest Ave
Jackson, TN 38301
Phone (731) 423-3121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740260553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-423-3121",
"fax_number": "731-423-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-423-3121",
"fax_number": "731-423-8530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLERS LIMB & BRACE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "731-423-3121",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Snells of Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.