Organization Active NPI

Northern Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Iron Mountain, MI
National Provider Identifier
1790424828
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORTHERN ORTHOTICS & PROSTHETICS
Practice address
1115 S Hemlock St
Iron Mountain, MI 49801-3800
Phone
(906) 553-7350
NPI assigned
May 27, 2022
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN ORTHOTICS AND PROSTHETICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Ivan Sabel
Title
Ceo
Phone
(906) 273-2444

Specialties & licenses 1

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

Addresses

Primary practice location

1115 S Hemlock St
Iron Mountain, MI 49801-3800

Mailing address

1015 Commerce Dr
Marquette, MI 49855-8694
Phone (190) 645-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219002529 MI DME Supplier - Certified Orth/Pros/Pedorthist 5890813588 Practice locations: Iron Mountain, MI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Northern Orthotics & Prosthetics1115 S Hemlock St, Iron Mountain, MI 49801-3800(906) 702-3001 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Northern Ortho Pros4 organizations share this tax ID, including this one
Part of
Northern Ortho Pros

Other organizations with this tax ID 3

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

Locations

20075 3rd St
Hancock, MI 49930
Phone (906) 482-7733

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1790424828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 COMMERCE DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558694",
            "telephone_number": "190-645-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S HEMLOCK ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013800",
            "telephone_number": "906-553-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ORTHOTICS AND PROSTHETICS",
        "enumeration_date": "2022-05-27",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-273-2444"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.