Organization Active NPI

Center for Orthotic and Prosthetic Care of Ky, LLC

  • Prosthetic/Orthotic Supplier
  • Lexington, KY
National Provider Identifier
1750610002
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KY, LLC
Practice address
171 N Eagle Creek Dr
Suite 102
Lexington, KY 40509-1801
Phone
(859) 264-1817
Fax
(859) 268-5636
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mr. Keith R Senn
Title
Coo
Phone
(502) 899-9247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X KY Primary

Addresses

Primary practice location

171 N Eagle Creek Dr
Suite 102
Lexington, KY 40509-1801

Mailing address

902 Dupont Rd
Suite 100
Louisville, KY 40207-4602
Phone (502) 899-9247

Other identifiers 2

IdentifierTypeStateIssuer
200124260AMedicaidIN
90351560MedicaidKY

Other names 1

  • Center for Orthotic and Prosthetic Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

171 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (202) 378-0547

902 DuPont Rd
#100
Louisville, KY 40207
Phone (502) 899-9221

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1750610002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 DUPONT RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074602",
            "telephone_number": "502-899-9247",
            "fax_number": "502-899-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR",
            "address_2": "SUITE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-264-1817",
            "fax_number": "859-268-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF KY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SENN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-899-9247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124260A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90351560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orthotic and Prosthetic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.