Organization Active NPI

National Pedorthic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Madison, WI
National Provider Identifier
1851405518
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NATIONAL PEDORTHIC SERVICES, INC.
Practice address
1334 Applegate Rd
Suite 200
Madison, WI 53713-3184
Phone
(605) 255-3500
Fax
(605) 255-3515
NPI assigned
Aug 19, 2006
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL PEDORTHIC SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Nicole S Janisse
Title
Operations Manager
Phone
(414) 438-1216

Specialties & licenses 1

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

Addresses

Primary practice location

1334 Applegate Rd
Suite 200
Madison, WI 53713-3184

Mailing address

7283 W Appleton Ave
Milwaukee, WI 53216-1932
Phone (414) 438-1216

Other identifiers 1

IdentifierTypeStateIssuer
41792800MedicaidWI

National Provider Directory

National Provider Directory
Part of
National Pedorthic Serv

Locations

727 N New Ballas Rd
Creve Coeur, MO 63141
Phone (314) 983-9453

2475 N 124th St
Brookfield, WI 53005
Phone (262) 754-2440

1825 S Park St
Madison, WI 53713
Phone (608) 255-3500

12308 N Corporate Pkwy
Ste 300
Mequon, WI 53092
Phone (262) 243-5530

325 Forest Grove Dr
Ste 102
Pewaukee, WI 53072
Phone (262) 691-9490

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1851405518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-438-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "605-255-3500",
            "fax_number": "605-255-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PEDORTHIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL PEDORTHIC SERVICES, INC",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "JANISSE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "414-438-1216"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41792800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.