Daniel Adam Thies, L.O., C.O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

11 Issued in OK

Practice address

480 E 141St St Ste E
Glenpool, OK 74033-3550

Phone

(918) 518-5980

Fax

(918) 518-5982

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Rehabilitative Orthotic Services LTD Co

  • Customized Equipment (DME)
  • Glenpool, OK
  • NPI 1922352780

  Orthotist

  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1841301462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E 141ST ST STE E",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333550",
            "telephone_number": "918-518-5980",
            "fax_number": "918-518-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E 141ST ST STE E",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333550",
            "telephone_number": "918-518-5980",
            "fax_number": "918-518-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIES",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "credential": "L.O., C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OK",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthotist in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Orthotist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.