NPIMap

Organization Active NPI

Teter Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Newaygo, MI
National Provider Identifier
1790289841
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TETER ORTHOTICS & PROSTHETICS, INC
Practice address
977 W 72ND St
Newaygo, MI 49337-9800
Phone
(231) 924-6301
Fax
(616) 949-4051
NPI assigned
Mar 22, 2018
Organization subpart
Yes
Parent organization
TETER ORTHOTICS & PROSTHETICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Carol S Humfleet
Title
Office MGR
Phone
(231) 947-5701

Specialties & licenses 1

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

Addresses

Primary practice location

977 W 72ND St
Newaygo, MI 49337-9800

Mailing address

1225 W Front St Ste a
Traverse City, MI 49684-1323
Phone (231) 947-5701

National Provider Directory

National Provider Directory
Tax ID family
Teter Orthotics and15 organizations share this tax ID, including this one
Part of
Teter Orthotics and

Other organizations with this tax ID 14

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

View all 14

Locations

977 W 72nd St
Newaygo, MI 49337
Phone (231) 652-3860

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1790289841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841323",
            "telephone_number": "231-947-5701",
            "fax_number": "231-947-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 W 72ND ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379800",
            "telephone_number": "231-924-6301",
            "fax_number": "616-949-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETER ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TETER ORTHOTICS & PROSTHETICS, INC",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "HUMFLEET",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "231-947-5701"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.