Advanced Joint Kinetics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED JOINT KINETICS LLC

Practice address

92 Stableton Way
Springboro, OH 45066-7501

Phone

(937) 623-2357

Fax

(877) 792-0198

NPI assigned

Apr 13, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan John Kercher, LP BOCPNPI 1659800100

Title

Owner / Manager

Phone

(937) 623-2357

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan John Kercher, LP BOCP

  • Prosthetist
  • Springboro, OH
  • NPI 1659800100
  Authorized official Same address or phone

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1851087746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 STABLETON WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667501",
            "telephone_number": "937-623-2357",
            "fax_number": "877-792-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STABLETON WAY",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667501",
            "telephone_number": "937-623-2357",
            "fax_number": "877-792-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED JOINT KINETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "KERCHER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "937-623-2357",
        "authorized_official_credential": "LP BOCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.