Organization Active NPI

Birkholms Orthopedic Services Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Maria, CA
National Provider Identifier
1770517690
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
SYARD156831210001 Issued in CA
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

Updated by the provider on Mar 20, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XC0012230MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.