Dupage Prosthetic - Orthotic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DUPAGE PROSTHETIC - ORTHOTIC

Practice address

121 E Roosevelt Rd
Suite B
Lombard, IL 60148-4561

Phone

(630) 261-9317

Fax

(630) 261-9319

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John E Rooney, C.P. CPED.NPI 1609937572

Title

President

Phone

(630) 261-9317

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These 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

Tax ID family

Dupage Prosthetic - Orthotic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dupage Prosthetic-Orthotic Service Inc.

  • Prosthetic/Orthotic Supplier
  • Naperville, IL
  • NPI 1679859029
  NPD tax ID
• Dupage Prosthetic-Orthotic Services

  • Prosthetic/Orthotic Supplier
  • Iron River, MI
  • NPI 1700203510
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Edward Rooney, C.P., CPED., L.O.

  • Prosthetic/Orthotic Supplier
  • Lombard, IL
  • NPI 1609937572
  Authorized official Same address or phone
• William Rooney, C.PED

  • Pedorthist
  • Lombard, IL
  • NPI 1962979534
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1740466101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "address_2": "SUITE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-261-9317",
            "fax_number": "630-261-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "address_2": "SUITE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-261-9317",
            "fax_number": "630-261-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PROSTHETIC - ORTHOTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-261-9317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P. CPED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group LTD (Dupage Medical Group)
• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD. (DuPage Medical Group)
• Dupage Ophthalmology
• Dupage Pulmonary Associates LLC
• Dupage Senior Citizen Council
• Dupage Sleep Center LLC (Sleep Apnea & Snoring Center)
• Kathleen Ann Durbin, LCSW
• Natalie Durec

• Durable Medical Equipment & Medical Supplies in Lombard, IL
• Providers in Lombard, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.

Verify at the official NPI Registry.