Doug Hodge Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DOUG HODGE ORTHOTICS

Practice address

1322 Annapolis Dr
Westfield, IN 46074-8120

Phone

(317) 844-8107

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Douglas Bryant Hodge, C.O.

Title

Owner

Phone

(317) 844-8107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1790054047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ANNAPOLIS DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748120",
            "telephone_number": "317-844-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ANNAPOLIS DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748120",
            "telephone_number": "317-844-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG HODGE ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-8107",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.