Active NPI
Birkholms Orthopedic Services Inc.
- Prosthetic/Orthotic Supplier
- Santa Maria, CA
National Provider Identifier
1770517690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- SYARD156831210001
- Legal business name
- BIRKHOLMS ORTHOPEDIC SERVICES INC.
- Practice address
- 510 E Chapel St
Santa Maria, CA 93454-4520 - Phone
- (805) 928-7044
- Fax
- (805) 928-7006
- NPI assigned
- Jul 10, 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. Hans Junker Birkholm, C.P.O., C.PED
- Title
- Orthotist/Prosthetist
- Phone
- (805) 928-7044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | SYARD156831210001 | CA | Primary |
Addresses
Primary practice location
510 E Chapel St
Santa Maria, CA 93454-4520
Mailing address
510 E Chapel St
Santa Maria, CA 93454-4520
Phone (805) 928-7044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XC0012230 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1111 E Ocean Ave
Ste 1
Lompoc, CA 93436
Phone (805) 735-3434
510 E Chapel St
Santa Maria, CA 93454
Phone (805) 868-9514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489968000000",
"number": "1770517690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E CHAPEL ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544520",
"telephone_number": "805-928-7044",
"fax_number": "805-928-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E CHAPEL ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544520",
"telephone_number": "805-928-7044",
"fax_number": "805-928-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRKHOLMS ORTHOPEDIC SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2017-03-20",
"status": "A",
"authorized_official_last_name": "BIRKHOLM",
"authorized_official_first_name": "HANS",
"authorized_official_middle_name": "JUNKER",
"authorized_official_title_or_position": "ORTHOTIST/PROSTHETIST",
"authorized_official_telephone_number": "805-928-7044",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O., C.PED"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "SYARD156831210001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XC0012230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.